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Individual

KAITLIN MICHELLE MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM, RN

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-1760
Mailing address
158 W 84TH ST APT 3B, NEW YORK, NY 10024-4665
(215) 595-4729

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
002100
NY
367A00000X
Advanced Practice Midwife
Primary
25ME00086201
NJ

Other

Enumeration date
10/14/2021
Last updated
04/30/2024
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