Kenric D Malmberg in Brookings - Family Medicine
Kenric D Malmberg - NPI 1376585885
Kenric D Malmberg is a Family Medicine in Brookings, South Dakota. Kenric D Malmberg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenric D Malmberg is 1376585885. The last update date is 2014-06-26.
Kenric D Malmberg's current location address is 400 22nd Ave, Brookings, South Dakota. You can contact this provider via phone number 6056979500 and fax number 6056976939. The mailing address for Kenric D Malmberg is 400 22nd Ave, Brookings, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenric D Malmberg |
|---|---|
| Address | 400 22nd Ave, Brookings, South Dakota |
| Phone Number | 6056979500 |
| Fax Number | 6056976939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376585885 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2014-06-26 |
Provider Mailing Address Detail
| Address | 400 22nd Ave |
|---|---|
| City | Brookings |
| State | South Dakota (SD) |
| Post Code | 570062497 |
| Phone Number | 6056979500 |
| Fax Number | 6056976939 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 7340A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5612920 | SD | -- | |
| 4992950 | SD | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Kenric D Malmberg by the Centers for Medicare & Medicaid Services (CMS)?
The Kenric D Malmberg has been assigned the NPI (National Provider Identifier) 1376585885. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kenric D Malmberg is physically located?
The Kenric D Malmberg is physically situated at the following address: 400 22Nd Ave, Brookings, SD, 570062497.
What is Kenric D Malmberg's area of expertise and its corresponding taxonomy classification?
The Kenric D Malmberg's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Kenric D Malmberg receive its 1376585885 assignment?
The Kenric D Malmberg was assigned its 1376585885 on 2006-06-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kenric D Malmberg most recently updated or revised?
The information pertaining to Kenric D Malmberg, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-26.