Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01702 | MD |
NPI | 1023544921 |
---|---|
Provider Name | Dr. Kurt Stephen Malkames |
First Address | Potomac, MD 20854-7024 |
Second Address | Potomac, MD 20854-7024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 13/07/2021 |