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Individual

KENNETH MURDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
91-1180 MIDWAY RD, KAPOLEI, HI 96707
(808) 682-5496
Mailing address
92-1208 MAKAMAI PL, KAPOLEI, HI 96707-1508
(808) 680-2373

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI

Other

Enumeration date
03/19/2020
Last updated
03/19/2020
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