Organization
KOKUA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RUSSELL MAUER (CEO)
(808) 466-1863
Entity
Organization
Contact information
Practice address
3-3204 KUHIO HWY STE 103, LIHUE, HI 96766-1135
(808) 466-1863
Mailing address
PO BOX 326, KALAHEO, HI 96741-0326
(808) 346-1916
(808) 346-1916
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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