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Individual
KENNETH HOWARD MALONEY
Active
Individual
KENNETH HOWARD MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
235
TX
367H00000X
Anesthesiologist Assistant
AA827
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051529674
BCBS- AL
AL
05
—
051556376
—
AL
01
—
4113999
BCBS- TN
TN
Enumeration date
04/18/2006
Last updated
06/04/2022
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