Kenny R. Malott M.D. Inc.
LBN: Kenny R. Malott M.D. Inc.
Kenny R. Malott M.D. Inc. is an health care organization with primary practice located at 375 Huku Lii Pl Ste 201 , Kihei HI 96753-8996. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Kenny R. Malott M.D. Inc. can be contacted via phone (808) 875-7546, or through Muscarella, Jerri M via phone (808) 875-7546.
Contact Information
Primary practice address
375 Huku Lii Pl Ste 201
Kihei HI 96753-8996
Phone: (808) 875-7546
Fax: (808) 879-4585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
NPI number | 1265902670 |
---|---|
LBN Legal business name | Kenny R. Malott M.D. Inc. |
DBA Doing business as | |
Authorized official | Muscarella, Jerri M |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 28th, 2018 |
Last updated | Nov 28th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265902670 | NPPES |
Hawaii | MEDICAID | 07102601 |
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