MEDICARE: DR. PARKER BROOKS KAULANA RIGGIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B01915	NV

General Provider Information

NPI Number	:	1922751361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARKER BROOKS KAULANA RIGGIN DC

Provider Business Mailing Address
First Line	:	241 N BUFFALO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-0307
Country	:	US
Telephone Number	:	702-852-1390
Fax Number	:	702-577-3334

Provider Business Practice Location Address
First Line	:	241 N BUFFALO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-0307
Country	:	US
Telephone Number	:	702-852-1390
Fax Number	:	702-577-3334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	01/26/2022

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Directions to “ DR. PARKER BROOKS KAULANA RIGGIN DC” Practice Location

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