Organization
ADVANCED BODYWORKS PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOREEN I KING DC (OWNER)
(808) 439-6292
Entity
Organization
Contact information
Practice address
65-1291 KAWAIHAE RD STE 203, KAMUELA, HI 96743-8358
(808) 439-6292
(808) 930-9840
Mailing address
65-1291 KAWAIHAE RD STE 203, KAMUELA, HI 96743-8358
(808) 439-6292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1373
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000385039
HMSA
HI
Enumeration date
03/19/2018
Last updated
06/16/2018
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