Kerry D Malin in Mayer - Medical

Kerry D Malin - NPI 1548241128

Kerry D Malin is a Medical in Mayer, Arizona. Kerry D Malin practices all healthcare services and medical treatments related to Medical. The NPI Number for Kerry D Malin is 1548241128. The last update date is 2021-06-09.

Kerry D Malin's current location address is 17301 E Spring Valley Rd Ste F, Mayer, Arizona. You can contact this provider via phone number 9286324909 and fax number 9284412915. The mailing address for Kerry D Malin is 17301 E Spring Valley Rd Ste F, Mayer, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry D Malin
Address 17301 E Spring Valley Rd Ste F, Mayer, Arizona
Phone Number 9286324909
Fax Number 9284412915
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1548241128
Provider Enumeration Date 2005-11-09
Last Updated Date 2021-06-09

Provider Mailing Address Detail

Address 17301 E Spring Valley Rd Ste F
City Mayer
State Arizona (AZ)
Post Code 863334263
Phone Number 9286324909
Fax Number 9284412915

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5167
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1548241128 NV --
P00942209 NV RAILROAD MEDICARE

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FAQs about Kerry D Malin

What is the Kerry D Malin's unique identification number?

The Kerry D Malin has been assigned the NPI (National Provider Identifier) Number 1548241128 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Kerry D Malin's physical address?

The Kerry D Malin is physically located at 17301 E Spring Valley Rd Ste F, in the city of Mayer, AZ, with the postal code 863334263.

What is the Kerry D Malin's area of specialization and corresponding taxonomy classification?

The Kerry D Malin's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1548241128 to Kerry D Malin?

The Kerry D Malin received its 1548241128 assignment from the Centers for Medicare & Medicaid Services on 2005-11-09.

When was the information regarding Kerry D Malin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kerry D Malin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-09.

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