Individual provider · Type 1 NPI

Jesse Broderson, DC

Chiropractor · Kailua Kona, HI

NPI number 1487738852 Active

Practice location

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

Fax (808) 329-2748

Mailing address

74-5620A Palani Rd, Suite 102
Kailua Kona, HI 96740-3100

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X978 (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 1487738852

Jesse Broderson, DC's National Provider Identifier is 1487738852, issued on Oct 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kailua Kona, HI. The record was last updated on Jan 8, 2011.