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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548202203 | NPPES |
| Other | 092353 | HMSA | |
| MEDICAID | 07102601 | HMSA |
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