Malicky, Kevin

Malicky, Kevin is an sole proprietor health care provider with primary practice located at 1225 Warm Springs Ave , Huntingdon PA 16652-2350. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Malicky, Kevin can be contacted via phone (818) 643-8485.

Contact Information

Primary practice address
1225 Warm Springs Ave Huntingdon PA 16652-2350
Phone: (818) 643-8485
Fax: (814) 643-8755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F0214324 Pennsylvania

Profile Details

NPI number 1447674114
LBN Legal business name Malicky, Kevin
Credentials CRNP F-NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2014
Last updated Mar 2nd, 2017 - about 7 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 1447674114 NPPES
Pennsylvania MEDICAID 102948711
Pennsylvania Other 349540G0F

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