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 |
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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 |
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Provider Enumeration Date | 2005-11-09 |
Last Updated Date | 2021-06-09 |
Provider Mailing Address Detail
Address | 17301 E Spring Valley Rd Ste F |
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City | Mayer |
State | Arizona (AZ) |
Post Code | 863334263 |
Phone Number | 9286324909 |
Fax Number | 9284412915 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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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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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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