Malloy, Kevin James

Malloy, Kevin James is an individual health care provider with primary practice located at 456 Sw Monroe Ave , Corvallis OR 97333-4781. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Malloy, Kevin James can be contacted via phone (541) 791-3411.

Contact Information

Primary practice address
456 Sw Monroe Ave Corvallis OR 97333-4781
Phone: (541) 791-3411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1184259137
LBN Legal business name Malloy, Kevin James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2020
Last updated Mar 10th, 2020 - about 5 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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