Kinnison, Malonnie L
Kinnison, Malonnie L is an individual health care provider with primary practice located at 4021 Avenue B , Scottsbluff NE 69361-4602. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Kinnison, Malonnie L can be contacted via phone (303) 761-9190.Contact Information
Primary practice address
4021 Avenue B
Scottsbluff NE 69361-4602
Phone: (303) 761-9190
Fax: (303) 761-6278
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0027477 | Maryland |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24920 | Nebraska |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0027477 | Maryland |
Profile Details
NPI number | 1689615494 |
---|---|
LBN Legal business name | Kinnison, Malonnie L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Aug 17th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689615494 | NPPES |
Maryland | MEDICAID | 439851300 |
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