Healthcare Provider Details

I. General information

NPI: 1891950705
Provider Name (Legal Business Name): NEWTOWN CHIROPRACTIC AND NATUROPATHIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-1247 KAAHUMANU ST SUITE 113
AIEA HI
96701-5311
US

IV. Provider business mailing address

98-1247 KAAHUMANU ST SUITE 113
AIEA HI
96701-5311
US

V. Phone/Fax

Practice location:
  • Phone: 808-487-9999
  • Fax: 808-487-2492
Mailing address:
  • Phone: 808-487-9999
  • Fax: 808-487-2492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-132
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-48
License Number StateHI

VIII. Authorized Official

Name: DR. EUGENE KITTS
Title or Position: DOCTOR
Credential: D.C., N.D.
Phone: 808-487-9999