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Contact Information

CODY J MCKILLIP, DC, LAT, ATC
91-1001 KAIMALIE ST # 106
EWA BEACH, HI96706-6247
 Phone: 808-637-2608
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CODY J MCKILLIP · (Male)

NPI Number 1578013371
Status Active
Credentials DC, LAT, ATC
Entity Individual
Enumeration date 10/05/2016
Last updated 07/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • HI License # DC-1574-0
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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