Provider Demographics
NPI:1861926503
Name:KOKUA ORTHOTIC SOLUTIONS
Entity type:Organization
Organization Name:KOKUA ORTHOTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:CO BOCPO
Authorized Official - Phone:808-731-6886
Mailing Address - Street 1:688 KINOOLE ST STE 112
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3868
Mailing Address - Country:US
Mailing Address - Phone:808-731-6886
Mailing Address - Fax:808-731-6887
Practice Address - Street 1:688 KINOOLE ST STE 112
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3868
Practice Address - Country:US
Practice Address - Phone:808-731-6886
Practice Address - Fax:808-731-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCO2831335E00000X
MDC21107335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier