# MARY K. WARREN, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699029702
- **Authorized official:** MARY K. WARREN M.D. (PRESIDENT)
- **Authorized official phone:** (808) 329-2500

## Contact information

- **Practice address:** 75-5995 KUAKINI HIGHWAY, POTTERY TERRACE \#211, KAILUA-KONA, HI 96740
- **Practice address phone:** (808) 329-2500
- **Practice address fax:** (808) 334-1808
- **Mailing address:** 75-5995 KUAKINI HIGHWAY, POTTERY TERRACE \#211, KAILUA-KONA, HI 96740
- **Mailing address phone:** (808) 329-2500
- **Mailing address fax:** (808) 334-1808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 10/29/2012