Kristi Lynn Malicoat, LPN is a
Licensed Practical Nurse based in Grand View, Idaho. Kristi Lynn Malicoat is licensed to practice in Idaho (license number PN-12009) and her current practice location is
23220 River Rd, Grand View, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 834-2860.
NPI number for Kristi Lynn Malicoat is 1013232834 and her current mailing address is Po Box 632, Grand View, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013232834.
Provider's Profile
| Full Name | Kristi Lynn Malicoat |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 23220 River Rd, Grand View, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013232834
- Provider Enumeration Date: 04/05/2010
- Last Update Date: 05/09/2011
Medical Identifiers
Medical identifiers for Kristi Lynn Malicoat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013232834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 200930022LPN (Oregon) | Secondary |
| 164W00000X | Licensed Practical Nurse | PN-12009 (Idaho) | Primary |
| 164W00000X | Licensed Practical Nurse | 27036628A (Indiana) | Secondary |
| 164W00000X | Licensed Practical Nurse | LPN11423 (Nevada) | Secondary |
| 164X00000X | Licensed Vocational Nurse | VN249377 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristi Lynn Malicoat is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristi Lynn Malicoat, LPN
Po Box 632,
Grand View, ID 83624-0632
Ph: (208) 834-2860 | Kristi Lynn Malicoat, LPN
23220 River Rd,
Grand View, ID 83624-5009
Ph: (208) 834-2860 |
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