Individual
PAMELA J MALONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1515 S CLIFTON AVE, STE 150, WICHITA, KS 67218-2900
(316) 616-3333
(316) 616-0974
Mailing address
1515 S CLIFTON AVE, STE 150, WICHITA, KS 67218-2900
(316) 616-3333
(316) 616-0974
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44301
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44878
BCBS
KS
Enumeration date
01/27/2006
Last updated
07/08/2007
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