Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD024893E | PA |
NPI | 1275837064 |
---|---|
Provider Name | Dr. Kathleen Ann Maloney |
First Address | Phila, PA 19103-1238 |
Second Address | Phila, PA 19103-1238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2011 |
Last Update Date | 07/01/2011 |