# KRISTI LYNN MALICOAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013232834
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 200930022LPN | OR | — |
| 164W00000X | Licensed Practical Nurse | 27036628A | IN | — |
| 164W00000X | Licensed Practical Nurse | LPN11423 | NV | — |
| 164W00000X | Licensed Practical Nurse | PN-12009 | ID | Yes |
| 164X00000X | Licensed Vocational Nurse | VN249377 | CA | — |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 05/09/2011