Individual
KENNETH HOWARD MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
6720 BERTNER AVE STE O-520, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
2006 FRANKLIN ST SE, SUITE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
235
TX
367H00000X
Anesthesiologist Assistant
AA827
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051529674
BCBS- AL
AL
05
—
051556376
—
AL
01
—
4113999
BCBS- TN
TN
Enumeration date
04/18/2006
Last updated
06/04/2022
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