Provider Demographics
NPI:1548482847
Name:HAYES, CANDICE (DC)
Entity type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1847 S KIHEI RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-7931
Mailing Address - Country:US
Mailing Address - Phone:808-879-7246
Mailing Address - Fax:808-879-6942
Practice Address - Street 1:1847 S KIHEI RD
Practice Address - Street 2:SUITE 104
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-7931
Practice Address - Country:US
Practice Address - Phone:808-879-7246
Practice Address - Fax:808-879-6942
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor