Malone, Kevin Anthony

Malone, Kevin Anthony is an individual health care provider with primary practice located at 1415 Ridgeback Rd Suite # 4, Chula Vista CA 91910-6932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Malone, Kevin Anthony can be contacted via phone (619) 421-6913.

Contact Information

Primary practice address
1415 Ridgeback Rd Suite # 4 Chula Vista CA 91910-6932
Phone: (619) 421-6913
Fax: (619) 421-6913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G46053 California

Profile Details

NPI number 1053389361
LBN Legal business name Malone, Kevin Anthony
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Dec 23rd, 2020 - about 6 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 1053389361 NPPES
California MEDICAID 00G460530

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