Maloney, Kelly Elizabeth

Maloney, Kelly Elizabeth is an individual health care provider with primary practice located at 222 E Medical Ln Ste 101 , West Columbia SC 29169-4850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Maloney, Kelly Elizabeth can be contacted via phone (803) 739-3660.

Contact Information

Primary practice address
222 E Medical Ln Ste 101 West Columbia SC 29169-4850
Phone: (803) 739-3660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 31659 South Carolina

Profile Details

NPI number 1356431589
LBN Legal business name Maloney, Kelly Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 15th, 2021 - about 3 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 1356431589 NPPES
North Carolina MEDICAID 5900370
North Carolina MEDICAID Q0008F

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