Provider Demographics
NPI:1255493219
Name:DOXEY, KAIO ALAN (DC)
Entity Type:Individual
Prefix:MR
First Name:KAIO
Middle Name:ALAN
Last Name:DOXEY
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 1:550 INDUSTRIAL DR
Mailing Address - Street 2:STE 250
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-1648
Mailing Address - Country:US
Mailing Address - Phone:209-745-5728
Mailing Address - Fax:209-745-6994
Practice Address - Street 1:550 INDUSTRIAL DR
Practice Address - Street 2:STE 250
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-1648
Practice Address - Country:US
Practice Address - Phone:209-745-5728
Practice Address - Fax:209-745-5728
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor