Individual provider · Type 1 NPI

Shannon Marie Broderson, DC

Chiropractor · Kailua Kona, HI

NPI number 1194888552 Active

Practice location

74-5620 Palani Rd, Suite 102
Kailua Kona, HI 96740-3640

Fax (808) 329-2748

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC977 (HI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1194888552

Shannon Marie Broderson, DC's National Provider Identifier is 1194888552, issued on Dec 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kailua Kona, HI. The record was last updated on Jun 15, 2023.