Malott, Kenny R

Malott, Kenny R is an individual health care provider with primary practice located at 375 Huku Lii Pl Suite 201, Kihei HI 96753-8996. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Malott, Kenny R can be contacted via phone (808) 875-7546.

Contact Information

Primary practice address
375 Huku Lii Pl Suite 201 Kihei HI 96753-8996
Phone: (808) 875-7546
Fax: (808) 879-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD8386 Hawaii
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD8386 Hawaii
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD8386 Hawaii

Profile Details

NPI number 1548202203
LBN Legal business name Malott, Kenny R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1548202203 NPPES
Other 092353 HMSA
MEDICAID 07102601 HMSA

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