Provider Demographics
NPI:1194930735
Name:KURIHARA, PAUL WY (DC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:WY
Last Name:KURIHARA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-115 AIEA HEIGHTS DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3924
Mailing Address - Country:US
Mailing Address - Phone:808-486-6696
Mailing Address - Fax:808-486-6695
Practice Address - Street 1:99-115 AIEA HEIGHTS DRIVE
Practice Address - Street 2:SUITE 260
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3975
Practice Address - Country:US
Practice Address - Phone:808-486-6696
Practice Address - Fax:808-486-6695
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2010-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI94-3261220OtherHMAA
HIA007096-9OtherHMSA
HIH0000QCCRBMedicare PIN