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Individual
KALISTA T MALETTE
Active
Individual
KALISTA T MALETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5548
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2024
Last updated
07/18/2025
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