Provider Demographics
NPI:1144095985
Name:KEO, BRIANA-RANE KA'ILILAKEA (CNM)
Entity type:Individual
Prefix:
First Name:BRIANA-RANE
Middle Name:KA'ILILAKEA
Last Name:KEO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-216 WAAKEA PL APT A
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3084
Mailing Address - Country:US
Mailing Address - Phone:808-352-4877
Mailing Address - Fax:
Practice Address - Street 1:91-216 WAAKEA PL APT A
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-3084
Practice Address - Country:US
Practice Address - Phone:808-352-4877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI66249163W00000X
176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse