| Organization Name: | KAUAI OSTEOPATHIC, INC |
| NPI Number: | 1720190929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA CHUN (OWNER/PHYSICIAN) |
| Mailing Address: | 3483 Weliweli Rd Koloa |
| State: | HI US |
| Postal Code: | 967568546 |
| Phone Number: | 8087421200 |
| Fax Number: | 8087421206 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 918 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |