Provider Demographics
NPI:1265025928
Name:PARRY, BRANDON
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:PARRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 PAPA PL STE C
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2481
Mailing Address - Country:US
Mailing Address - Phone:808-298-2465
Mailing Address - Fax:
Practice Address - Street 1:358 PAPA PL STE C
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2481
Practice Address - Country:US
Practice Address - Phone:808-298-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-14
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC1479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor