Provider Demographics
NPI:1548528292
Name:KALANI, DAVELYNNE A
Entity type:Individual
Prefix:MS
First Name:DAVELYNNE
Middle Name:A
Last Name:KALANI
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 1:86-120 FARRINGTON HWY
Mailing Address - Street 2:A 107
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3000
Mailing Address - Country:US
Mailing Address - Phone:808-282-7355
Mailing Address - Fax:808-696-5079
Practice Address - Street 1:86-120 FARRINGTON HWY
Practice Address - Street 2:A 107
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3000
Practice Address - Country:US
Practice Address - Phone:808-282-7355
Practice Address - Fax:808-696-5079
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator