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General NPI Number Information
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NPI Number | 1356710479
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Entity Type | Individual
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Provider Name | ANDREW D MALOY D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 12100 STATE LINE RD
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City | LEAWOOD
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State | KS
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Zip | 66209-1201
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Country | US
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Telephone | 913-345-9888
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Fax | 913-345-0958
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Provider Business Mailing Address
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Address Line | 11806 W 51ST ST
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City | SHAWNEE
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State | KS
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Zip | 66203-1402
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Country | US
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Telephone | 573-808-0370
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2016033334
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01-05748
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License Number State | KS
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