Malone, Keathern Scott

Malone, Keathern Scott is an individual health care provider with primary practice located at 3051 Watson Blvd Suite400, Warner Robins GA 31093-8536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Malone, Keathern Scott can be contacted via phone (478) 953-4563.

Contact Information

Primary practice address
3051 Watson Blvd Suite400 Warner Robins GA 31093-8536
Phone: (478) 953-4563
Fax: (478) 953-4616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 044524 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 044534 Georgia

Profile Details

NPI number 1154374312
LBN Legal business name Malone, Keathern Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 13th, 2012 - about 13 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 1154374312 NPPES
Georgia MEDICAID 000775607E

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