Provider Demographics
NPI:1477060689
Name:UEUNTEN, KYLE SENSUKE (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:SENSUKE
Last Name:UEUNTEN
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 1:4000 PAPALINA RD
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-9518
Mailing Address - Country:US
Mailing Address - Phone:408-623-8849
Mailing Address - Fax:
Practice Address - Street 1:5470 KOLOA RD # 2D
Practice Address - Street 2:
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756-9421
Practice Address - Country:US
Practice Address - Phone:408-623-8849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor