Provider Demographics
NPI:1154491017
Name:KONO, SEAN SHUKUE (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:SHUKUE
Last Name:KONO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 W FOOTHILL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3780
Mailing Address - Country:US
Mailing Address - Phone:909-956-2673
Mailing Address - Fax:909-926-1872
Practice Address - Street 1:886 W FOOTHILL BLVD STE E
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3780
Practice Address - Country:US
Practice Address - Phone:909-956-2673
Practice Address - Fax:909-926-1872
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor