Healthcare Provider Details

I. General information

NPI: 1487572921
Provider Name (Legal Business Name): KEVIN MALONE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 PLANTATION PARK DR STE 201
BLUFFTON SC
29910-9008
US

IV. Provider business mailing address

29 PLANTATION PARK DR STE 201
BLUFFTON SC
29910-9008
US

V. Phone/Fax

Practice location:
  • Phone: 843-212-2504
  • Fax:
Mailing address:
  • Phone: 843-212-2504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4579
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: