Malone, Kimberly Dawn

Malone, Kimberly Dawn is an individual health care provider with primary practice located at 555 E Hardy St , Inglewood CA 90301-4011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Malone, Kimberly Dawn can be contacted via phone (310) 673-4660.

Contact Information

Primary practice address
555 E Hardy St Inglewood CA 90301-4011
Phone: (310) 673-4660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A51398 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A51398 California

Profile Details

NPI number 1801973532
LBN Legal business name Malone, Kimberly Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1801973532 NPPES
California MEDICAID 00A513980

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