Individual
DR. JARED RICK MALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
420 LORETTO RD, SUITE 500, LEBANON, KY 40033-1628
(270) 692-5272
(270) 692-5285
Mailing address
420 LORETTO RD, SUITE 500, LEBANON, KY 40033-1628
(270) 692-5272
(270) 692-5285
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006481
PA
Other
Enumeration date
07/01/2013
Last updated
08/25/2016
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