# MALONE CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972720647
- **Authorized official:** DR. JEFFREY T MALONE DC (DOCTOR)
- **Authorized official phone:** (262) 597-9700

## Contact information

- **Practice address:** 2305 30TH AVE, SUITE 2, KENOSHA, WI 53144-1411
- **Practice address phone:** (262) 597-9700
- **Practice address fax:** (262) 597-9977
- **Mailing address:** 2305 30TH AVE, SUITE 2, KENOSHA, WI 53144-1411
- **Mailing address phone:** (262) 597-9700
- **Mailing address fax:** (262) 597-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 3473-012 | WI | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38939400 | — | WI |