Individual
DR. JENNIFER KENT MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 W CONGRESS ST STE 2300A, LAFAYETTE, LA 70506-6778
(337) 237-7801
(337) 235-1865
Mailing address
4212 W CONGRESS ST STE 2300A, LAFAYETTE, LA 70506-6778
(337) 237-7801
(337) 235-1865
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
019335
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1968633
—
LA
Enumeration date
05/12/2006
Last updated
07/24/2020
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