Organization
ON THE GO CHIRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY HARRIS DC (OWNER)
(979) 218-2274
Entity
Organization
Contact information
Practice address
1606 S KIHEI RD, KIHEI, HI 96753-8065
(808) 463-9932
Mailing address
1606 S KIHEI RD, KIHEI, HI 96753-8065
(808) 463-9932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1362
HI
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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