Individual
DR. DOUGLAS KOAKANE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
75-5852 ALII DR, SUITE 166, KAILUA KONA, HI 96740-1310
(808) 334-0445
Mailing address
PO BOX 5154, KAILUA KONA, HI 96745-5154
(808) 938-9870
(808) 328-9926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
616
HI
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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