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
Fax: (808) 879-4585
Website:
Authorized official contact:
Name: Muscarella, Jerri M

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265902670 NPPES
Hawaii MEDICAID 07102601

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