Provider Demographics
NPI:1821401480
Name:KLEIN NATURAL HEALTH AND WELLNESS CENTER
Entity Type:Organization
Organization Name:KLEIN NATURAL HEALTH AND WELLNESS CENTER
Other - Org Name:KLEIN CHIROPRACTIC CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:ND, DC, DACNB
Authorized Official - Phone:808-959-4588
Mailing Address - Street 1:2070 KILAUEA AVE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5233
Mailing Address - Country:US
Mailing Address - Phone:808-959-4588
Mailing Address - Fax:808-959-4580
Practice Address - Street 1:2070 KILAUEA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5233
Practice Address - Country:US
Practice Address - Phone:808-959-4588
Practice Address - Fax:808-959-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1273111N00000X
HIDC-1266111NN0400X
HIDC-207111NX0800X
HIND-254175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty