Provider Demographics
NPI:1912720376
Name:KYE, LUCIA H
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:H
Last Name:KYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 HARDING AVE STE 509
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3757
Mailing Address - Country:US
Mailing Address - Phone:808-739-1992
Mailing Address - Fax:808-739-1995
Practice Address - Street 1:1001 QUEEN ST APT 2306
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-5229
Practice Address - Country:US
Practice Address - Phone:808-492-3783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW52611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical