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Individual

DR. PATRICIA CAROL PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
71-1409 MAMALOHOA HWY, KAILUAKONA, HI 96740
(808) 325-5522
(808) 325-7787
Mailing address
71-1409 MAMALOHOA HWY, KAILUAKONA, HI 96740
(808) 325-5522
(808) 325-7787

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10801
HI
2084P0800X
Psychiatry Physician
1231
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000238634
QUEST
HI
01
238634
HMSA
HI
05
5292408
HI
Enumeration date
07/27/2006
Last updated
07/08/2007
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