Organization
KOOLAU FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH S.I. GLENN D.C. (MANAGING MANAGER)
(808) 262-2099
Entity
Organization
Contact information
Practice address
415 ULUNIU ST STE D, KAILUA, HI 96734-2503
(808) 262-2099
Mailing address
PO BOX 1768, KAILUA, HI 96734-8768
(808) 262-2099
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC 907
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23802-2
HMSA
HI
Enumeration date
07/13/2007
Last updated
03/03/2021
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