Organization
PATTI K M ENDO MD INC
Active
Organization
PATTI K M ENDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATTI K ENDO M.D. (PRESIDENT)
(808) 877-3635
Entity
Organization
Contact information
Practice address
135 S WAKEA AVE, SUITE 111, KAHULUI, HI 96732-1385
(808) 877-3635
(808) 877-4363
Mailing address
135 S WAKEA AVE, SUITE 111, KAHULUI, HI 96732-1385
(808) 877-3635
(808) 877-4363
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD9088
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07506301
—
HI
Enumeration date
04/11/2011
Last updated
04/11/2011
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