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Individual
MALINDA C ABBOTT
Active
Individual
MALINDA C ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003745
—
KY
01
—
P00386299
RAILROAD MEDICARE
KY
Enumeration date
07/18/2006
Last updated
04/13/2023
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