| Kevin G Malloy Md, Llc | |
|
5250 Far Hills Ave Ste 250 Kettering OH 45429-2353 | |
| (937) 435-6500 | |
| (937) 435-6514 |
| Full Name | Kevin G Malloy Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5250 Far Hills Ave, Kettering, Ohio |
| Authorized Official Name and Position | Kevin G Malloy (OWNER) |
| Authorized Official Contact | 9374356500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G Malloy Md, Llc 5250 Far Hills Ave Ste 250 Kettering OH 45429-2353 Ph: (937) 435-6500 | Kevin G Malloy Md, Llc 5250 Far Hills Ave Ste 250 Kettering OH 45429-2353 Ph: (937) 435-6500 |
| NPI Number | 1003869199 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003869199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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