Individual
EDWARD DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64-5193 KINOHOU ST, KAMUELA, HI 96743-8446
(808) 885-9300
Mailing address
PO BOX 6318, KAMUELA, HI 96743-6318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1038
HI
Other
Enumeration date
11/14/2006
Last updated
11/02/2017
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