Healthcare Provider Details

I. General information

NPI: 1477393940
Provider Name (Legal Business Name): BRIDGET KONWINSKI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-047 KAMEHAMEHA HWY UNIT 15
KANEOHE HI
96744-3742
US

IV. Provider business mailing address

91-1012 KANEHOALANI ST APT D
KAPOLEI HI
96707-3060
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC1664
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: