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Individual

DR. KILEY D PERRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 574-4711
Mailing address
500 ALA MOANA BLVD, TOWER 4 SUITE 510, HONOLULU, HI 96813-4920
(808) 521-9551
(808) 536-3008

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15598
HI
2085R0202X
Diagnostic Radiology Physician
MD 60074651
WA
2085R0202X
Diagnostic Radiology Physician
RT-1423
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
642612
HI
Enumeration date
09/12/2006
Last updated
08/16/2011
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