Kevin Anthony Malone MD, MBA

NPI 1053389361 - Family Medicine - 207Q00000X

NPI Details
NPI 1053389361
Gender Male
Enumeration Date 03/10/2006
Last Updated 11/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1415 RIDGEBACK RD
SUITE # 4
CHULA VISTA CA, 91910-6932, US
Phone (619) 421-6913
Fax (619) 421-6913
Business Location
1415 RIDGEBACK RD
SUITE # 4
CHULA VISTA CA, 91910-6932, US
Phone (619) 421-6913
Fax (619) 421-6913
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G46053
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According to our database, Dr. Kevin Anthony Malone MD, MBA NPI is 1053389361, taxonomy code is 207Q00000X and license number is G46053, license state is located at California. Kevin Anthony Malone MD, MBA physically located at 1415 Ridgeback Rd, Chula Vista CA, 91910-6932. NPI Number Kevin Anthony Malone MD, MBA has the Individual type.

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1053389361 NPI number is provided on an as is basis without warranty of any kind. 1053389361 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Anthony Malone MD, MBA are for informational purposes only.