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Individual

DR. RODGER C. KOLLMORGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
79-1020 HAUKAPILA RAOD, KEALAKEKUA, HI 96750
(808) 322-4818
(808) 322-4817
Mailing address
75-6081 ALII DR APT W204, KAILUA KONA, HI 96740-4352
(808) 322-4818
(808) 322-4817

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD - 1427
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000254086
HMSA
HI
05
0000569535
HI
Enumeration date
12/15/2006
Last updated
07/08/2007
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