Doctor Name: | DR. KENZIE LYNNE MALOY |
NPI Number: | 1043372303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 3653 |
Business Practice Address: | 1002 W Elm Ave Hermiston, OR - 978382711 |
Business Phone Number: | 5415676277 |
Business Fax Number: | 5415679055 |
Mailing Address: | Po Box 211, 1002 W. Elm Ave. HERMISTON |
State: | OR |
Postal Code: | 978380211 |
Phone Number: | 5415676277 |
Fax Number: | 5415679055 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |