Dr. Jesse Broderson, D.C.
Chiropractor in Kailua Kona, HI. Individual provider (NPI-1).
NPI number1487738852
StatusActive
Last updated in NPPESJan 8, 2011
Details
- NPI
- 1487738852
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jesse Broderson
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Jan 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 978 | HI | Yes |
Practice location
74-5620 Palani Rd Ste ASuite 102
Kailua Kona, HI 96740-3640
Phone 808-329-7797 · Fax 808-329-2748
Mailing address
74-5620a Palani RdSuite 102
Kailua Kona, HI 96740-3100
Phone 808-329-7797 · Fax 808-329-2748
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All 30 Chiropractor providers in Kailua Kona · All 1,064 providers in Kailua Kona
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