Individual
DR. KELLY C HARNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD., ABPP
Contact information
Practice address
727 WAINEE ST, SUITE 201, LAHAINA, HI 96761-1589
(808) 280-4192
Mailing address
727 WAINEE ST, SUITE 201, LAHAINA, HI 96761-1589
(808) 280-4192
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1072
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY1072
HI LICENSE
HI
Enumeration date
10/23/2008
Last updated
06/18/2014
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