Individual
DR. KELLY MALOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 521-2453
Mailing address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 521-2453
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS19631
FL
Other
Enumeration date
04/19/2016
Last updated
07/05/2023
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