# KIMBERLEY MALONE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1194330324
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376J00000X | Homemaker | 1831570 | OH | Yes |

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 09/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000269518 | OHIO SHARED SERVICES SUPPLIER ID | OH |
| 01 | — | 1831570 | DODD CONTRACT NO. | OH |