Individual
DAVID JEFFREY MALICOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST FL 3, LOUISVILLE, KY 40202-1622
(502) 852-6991
(502) 852-0846
Mailing address
550 S JACKSON ST FL 3, LOUISVILLE, KY 40202-1622
(502) 852-6991
(502) 852-0846
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
58913
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2019
Last updated
06/25/2024
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