Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER KATHLEEN MALCOLM, D.O.
ActiveJENNIFER KATHLEEN MALCOLM, D.O. is a Sports Medicine healthcare provider located in MANHATTAN, Kansas. NPI 1154583862 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MANHATTAN, KS
Registration Details
- NPI Number
- 1154583862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2008 (18.093026569838 yrs)
- Last Updated
- Sep 5, 2014
- Licenses
-
02003812A (IN)05-37550 (KS)
Practice Information
- Address
-
1105 SUNSET AVEMANHATTAN, KS, 665023739Browse KS providers · Browse ZIP 66502
- Phone
- 7855326544
- Fax
- 7855323425
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.