Malicoat, Kristi Lynn

Malicoat, Kristi Lynn is an sole proprietor health care provider with primary practice located at 23220 River Rd , Grand View ID 83624-5009. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Malicoat, Kristi Lynn can be contacted via phone (208) 834-2860.

Contact Information

Primary practice address
23220 River Rd Grand View ID 83624-5009
Phone: (208) 834-2860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 200930022LPN Oregon
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN-12009 Idaho
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27036628A Indiana
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN11423 Nevada
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN249377 California

Profile Details

NPI number 1013232834
LBN Legal business name Malicoat, Kristi Lynn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2010
Last updated May 9th, 2011 - about 15 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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