Primary Care

A primary care provider is one person who oversees your overall health, referring you to specialists if you need them.  With a primary care doctor, health problems are detected and treated before they become serious and require hospitalization.  That means better health for you and lower costs. If you don't already have a primary care provider, call 887-CARE for an appointment.



Not only do we specialize in diagnosing and managing a wide range of health issues, we also help keep you informed about health prevention and wellness.

Primary Care offers the following services:

  • Primary care for all ages 
  • Same-day urgent care appointments available for established patients
  • General health issues
  • Care of injuries
  • Routine check-ups or physicals
  • Referrals to specialists
  • Preventive medicine and education
  • Women's health and family planning
  • Sports and work physicals 
  • Counseling including psychosocial support, behavioral change promotion and maintenance, and marriage and family therapy




Natalie Kehau Ah-Yin Kong, MD, Family Practice Obstetrician

Dr. Natalie “Kehau” Ah-Yin Kong has degrees from the University of Hawai'i at Manoa and the John A. Burns School of Medicine.  She completed her family medicine residency in Phoenix, AZ. Dr. Kong loves delivering babies and being able to care for the entire family so she decided to do a fellowship in obstetrics in Tacoma, WA.  In 2014, Dr. Kong returned to Hawaii to work with the Hawai'i Island Family Medicine Residency Program in Hilo to help train the next generation of family medicine physicians prior to joining North Hawai'i Health & Wellness in 2016.



Lokenani Kealoha Souza, FNP-C, APRN-Rx, CWOCN, CFCN

Loke is a Family Nurse Practitioner with 15 years of nursing experience. Loke graduated with a bachelor of science degree and practiced as a registered nurse at The Queen's Medical Center. In 2008, Loke attended Emory University in Atlanta, Georgia to become a Certified Wound, Ostomy, Continence Nurse (CWOCN) and Certified Foot and Nail Care Nurse (CFCN) specialist.  In 2011, Loke graduated with a master of science degree from the University of Hawaii, Manoa’s Family Nurse Practitioner Program. 



Jennifer De Costa, Ph D, MFT, CSAC, Behavioral Specialist  

Jen De Costa attended the University of Hawaii-Hilo and then graduate school at Western Washington University, earning a master’s of science in general psychology.  She also holds a master’s in education from the University of Oregon with a focus on counseling, family, and human services, and a doctoral degree from Oregon State University in human development and family studies. She has a passion for providing counseling and support to the most vulnerable populations, in particular children and adolescents.



All major insurances, including Medicare and Medicaid, are accepted.  If you have any questions, please contact us directly.

Click HERE for Primary Care Clinic patient forms. 



Hale Ola Pono (next to Long's Drugs)    

65-1267 Kawaihae Rd.                             

Kamuela, Hi 96743           



Dr. Kong and FNP Souza                                          Jennifer De Costa, PhD

Monday through Friday                                            Weekend appointments available      

8 am to 5 pm



During Business Hours:
Phone:   808-881-4745 or 887-CARE
Fax:   808-881-4785

After Hours:
For non-emergencies, please leave a message. 
For emergencies, call 9-1-1