Individual
DORIS GWENDOLYN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
73 4434 MAMALAHOA HWY, KAILUA KONA, HI 96740
(808) 325-3255
(808) 325-3255
Mailing address
PO BOX 4998, KAILUA KONA, HI 96745-4998
(808) 325-3255
(808) 325-3255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD8129
HI
2084P0804X
Child & Adolescent Psychiatry Physician
MD 8129
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000007161
HMSA
HI
05
—
00735801
—
HI
01
—
2881
ALOHA CARE
HI
Enumeration date
05/01/2007
Last updated
07/15/2010
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