MEDICARE: KIRKLAND MALONE

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
1	237700000X	Hearing Instrument Specialist	AS3772	FL

General Provider Information

NPI Number	:	1669415774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRKLAND MALONE

Provider Business Mailing Address
First Line	:	3399 WEDGEWOOD LN
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-7180
Country	:	US
Telephone Number	:	352-259-8070
Fax Number	:	352-205-7619

Provider Business Practice Location Address
First Line	:	3399 WEDGEWOOD LN
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-7180
Country	:	US
Telephone Number	:	352-259-8070
Fax Number	:	352-205-7619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	01/10/2011

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Directions to “ KIRKLAND MALONE ” Practice Location

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