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
Fax: (303) 761-6278
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689615494 NPPES
Maryland MEDICAID 439851300

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