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NPI Code Detail

MEDICARE: KIM M LAMOTTE-MALONE MD

MEDICARE:   KIM M LAMOTTE-MALONE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician5929NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427008887
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM M LAMOTTE-MALONE MD
Provider Business Mailing Address
First Line : 871 CORONADO CENTER DR STE 141
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3977
Country : US
Telephone Number : 702-566-2400
Fax Number : 702-433-2477
Provider Business Practice Location Address
First Line : 871 CORONADO CENTER DR STE 141
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3977
Country : US
Telephone Number : 702-566-2400
Fax Number : 702-433-2477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 03/25/2020

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Directions to “ KIM M LAMOTTE-MALONE MD” Practice Location

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