Provider Demographics
NPI:1437843521
Name:KA'OHAO CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:KA'OHAO CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CARASTONA
Authorized Official - Middle Name:KAZAN POPPAS
Authorized Official - Last Name:HEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-260-7909
Mailing Address - Street 1:354 ULUNIU ST STE 404
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2534
Mailing Address - Country:US
Mailing Address - Phone:808-262-2226
Mailing Address - Fax:808-312-3383
Practice Address - Street 1:354 ULUNIU ST STE 404
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2534
Practice Address - Country:US
Practice Address - Phone:808-262-2226
Practice Address - Fax:808-312-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1881647154OtherINDIVIDUAL