Jennifer Kathleen Malcolm
Family Doctor - Sports Medicine
1105 Sunset Ave
Manhattan
, Kansas 66502-3739
Jennifer Kathleen Malcolm
Family Doctor - Sports Medicine
1105 Sunset Ave
Manhattan
, Kansas 66502-3739
(785) 532-3425
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jennifer Kathleen Malcolm
- 1105 Sunset Ave
- Manhattan, KS
- Zip : 66502-3739
- Fax : (785) 532-3425
- Phone : (785) 532-6544
Second Address
- Jennifer Kathleen Malcolm
- 1105 Sunset Ave
- Manhattan, KS
- Zip : 66502-3739
- Fax : (785) 532-3425
- Phone : (785) 532-6544
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QS0010X | Family Doctor - Sports Medicine | 02003812A | IN |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 05-37550 | KS |
National Provider Identifier
| NPI | 1154583862 |
|---|---|
| Provider Name | Jennifer Kathleen Malcolm |
| First Address | Manhattan, KS 66502-3739 |
| Second Address | Manhattan, KS 66502-3739 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2008 |
| Last Update Date | 05/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.