Individual
DR. KATHLEEN SHERIDAN MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
4790 BARKLEY CIR STE 103, FORT MYERS, FL 33907-7593
(239) 936-8686
(239) 963-2532
Mailing address
4790 BARKLEY CIR STE 103, FORT MYERS, FL 33907-7593
(239) 936-8686
(239) 963-2532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5865
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2016
Last updated
10/06/2020
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