# KA OLA CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1972095834
- **Authorized official:** JUSTIN PETERSEN DC (STAFF DOCTOR)
- **Authorized official phone:** (808) 436-7317

## Contact information

- **Practice address:** 7000 HAWAII KAI DR APT 2910, HONOLULU, HI 96825-4190
- **Practice address phone:** (808) 436-7317
- **Mailing address:** PO BOX 25921, HONOLULU, HI 96825-0921
- **Mailing address phone:** (808) 436-7317

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018