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Individual

DR. CODY JAMES MCKILLIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, LAT, ATC

Contact information

Practice address
91-1001 KAIMALIE ST # 106, EWA BEACH, HI 96706-6247
(808) 637-2608
Mailing address
91-1011 KAIPALAOA ST APT 404, EWA BEACH, HI 96706-6117
(309) 737-9553

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-1574-0
HI
2255A2300X
Athletic Trainer

Other

Enumeration date
10/05/2016
Last updated
07/01/2023
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