| Doctor Name: | DR. KEVIN PAUL MALONE |
| NPI Number: | 1003082488 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 99035235A |
| Business Practice Address: | 4321 Fir St Suite 216 East Chicago, IN - 463123049 |
| Business Phone Number: | 2193980100 |
| Business Fax Number: | 2193984192 |
| Mailing Address: | 4321 Fir St, Suite 216 EAST CHICAGO |
| State: | IN |
| Postal Code: | 463123049 |
| Phone Number: | 2193980100 |
| Fax Number: | 2193984192 |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 02/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 99035235A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |