Healthcare Provider Details

I. General information

NPI: 1942927264
Provider Name (Legal Business Name): OKAI CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-5591 PALANI RD STE 3007
KAILUA KONA HI
96740-3633
US

IV. Provider business mailing address

75-5591 PALANI RD STE 3007
KAILUA KONA HI
96740-3633
US

V. Phone/Fax

Practice location:
  • Phone: 808-778-9754
  • Fax:
Mailing address:
  • Phone: 808-778-9754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TAKESHI OKAI
Title or Position: OWNER
Credential: DC
Phone: 808-778-9754