Individual
MALCOLM KE
Active
Individual
MALCOLM KE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A73403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523164
ANTHEM
OH
05
—
00A734030
—
CA
01
—
221410
UNISON
OH
05
—
2673530
—
OH
01
—
7190699
AETNA
OH
01
—
P00333086
RAILROAD MEDICARE
OH
Enumeration date
07/03/2006
Last updated
11/04/2020
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