Individual
MARY KATHERINE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75-5995 KUAKINI HWY, SUITE 211, KAILUA KONA, HI 96740-2144
(808) 329-2500
(808) 334-1808
Mailing address
75-5995 KUAKINI HWY, SUITE 211, KAILUA KONA, HI 96740-2144
(808) 329-2500
(808) 334-1808
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
9630
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208157
HMSA
HI
01
—
55478951
UHA
HI
01
—
A84303
HMAA
HI
Enumeration date
02/13/2007
Last updated
07/08/2007
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