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NPI Code Detail

MEDICARE: MRS. KATHRYN JEAN MALENFANT DNP

MEDICARE: MRS. KATHRYN JEAN MALENFANT DNP
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
1363LF0000XFamily Nurse PractitionerR148905MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerR148905MD

General Provider Information

NPI Number : 1689983090
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN JEAN MALENFANT DNP
Provider Business Mailing Address
First Line : 1103 E VIKING CT
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1049
Country : US
Telephone Number : 410-676-2993
Fax Number :
Provider Business Practice Location Address
First Line : 103 N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number : 888-333-1345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2010
Last Update Date : 02/15/2025

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