# ADVANCED BODYWORKS PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972007680
- **Authorized official:** DR. DOREEN I KING DC (OWNER)
- **Authorized official phone:** (808) 439-6292

## Contact information

- **Practice address:** 65-1291 KAWAIHAE RD STE 203, KAMUELA, HI 96743-8358
- **Practice address phone:** (808) 439-6292
- **Practice address fax:** (808) 930-9840
- **Mailing address:** 65-1291 KAWAIHAE RD STE 203, KAMUELA, HI 96743-8358
- **Mailing address phone:** (808) 439-6292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC1373 | HI | Yes |

## Other

- **Enumeration date:** 03/19/2018
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000385039 | HMSA | HI |