Individual
KEVIN DEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
75-170 HUALALAI RD, KAILUA KONA, HI 96740-1779
(808) 895-0148
(808) 664-6721
Mailing address
78-1043 BISHOP RD, HOLUALOA, HI 96725-9713
(808) 339-2910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
HI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231284
NAADAC
HI
Enumeration date
01/09/2023
Last updated
01/09/2023
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