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NPI Code Detail

MEDICARE: KRISTA MALYON

MEDICARE: KRISTA MALYON
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1821467101
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA MALYON
Provider Business Mailing Address
First Line : 999 164TH AVE NE
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3518
Country : US
Telephone Number : 425-747-4937
Fax Number :
Provider Business Practice Location Address
First Line : 999 164TH AVE NE
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3518
Country : US
Telephone Number : 425-747-4937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2015
Last Update Date : 09/19/2022

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Directions to “ KRISTA MALYON ” Practice Location

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