MEDICARE: DR. BRIAN P CHENES D.C.

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	1125	HI
2	111N00000X	Chiropractor	1435	NM

General Provider Information

NPI Number	:	1427230259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN P CHENES D.C.

Provider Business Mailing Address
First Line	:	1367 S KIHEI RD
Second Line	:	3107
City	:	KIHEI
State	:	HI
Zip	:	96753-5802
Country	:	US
Telephone Number	:	808-633-6223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1367 S KIHEI RD
Second Line	:	3107
City	:	KIHEI
State	:	HI
Zip	:	96753-5802
Country	:	US
Telephone Number	:	808-633-6223
Fax Number	:

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

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	02/28/2013

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