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NPI Code Detail

MEDICARE: DR. KURT MALKOFF PH.D.

MEDICARE: DR. KURT MALKOFF PH.D.
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
1103T00000XPsychologist2116OH

General Provider Information

NPI Number : 1972697852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KURT MALKOFF PH.D.
Provider Business Mailing Address
First Line : 2 EASTON OVAL
Second Line : STE 450
City : COLUMBUS
State : OH
Zip : 43219-6035
Country : US
Telephone Number : 614-475-9500
Fax Number :
Provider Business Practice Location Address
First Line : 2 EASTON OVAL
Second Line : STE 450
City : COLUMBUS
State : OH
Zip : 43219-6035
Country : US
Telephone Number : 614-475-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KURT MALKOFF PH.D.” Practice Location

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