Healthcare Provider Details

I. General information

NPI: 1538071113
Provider Name (Legal Business Name): KENDRICK LADAO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-080 KAUHALE ST STE D9
AIEA HI
96701-4114
US

IV. Provider business mailing address

91-1012 KANEHOALANI ST
KAPOLEI HI
96707-3060
US

V. Phone/Fax

Practice location:
  • Phone: 808-637-2608
  • Fax:
Mailing address:
  • Phone: 209-275-5350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-1670
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: