Kenny R. Malott M.d. Inc.

NPI #1265902670 in Kihei, Hawaii

Provider Information

NPI Number: 1265902670
Entity Type: Organization
Organization Name: Kenny R. Malott M.d. Inc.
Primary Specialty: Dermatology
Enumeration Date: Nov 28, 2018
Last Updated: Nov 28, 2018

Practice Location

Address: 375 HUKU LII PL STE 201
City: Kihei
State: Hawaii
ZIP Code: 96753-8996
Phone: (808) 875-7546

Authorized Official

Name: JERRI M MUSCARELLA
Title: BILLER
Phone: (808) 875-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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