Most Relevant Information
Provider Data
| NPI Number: | 1003458639 |
| Provider Name: | RICHARD HOANI KANANI POULSEN DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | B01795 |
Most Important Dates
| Enumeration Date: | 10/15/2019 |
| Last Updated: | 10/15/2019 |
Provider Practice Location
8678 SPRING MOUNTAIN RD STE 130
LAS VEGAS
NV
891174104
Practice Location Phone/Fax
| Phone: | 7023840000 |
| Fax: |
Provider Mailing Location
8678 SPRING MOUNTAIN RD STE 130
LAS VEGAS
NV
891174104
Provider Mailing Phone/Fax
| Phone: | 7023840000 |
| Fax: |