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Individual

KELLY ANN MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
2000 OLATHE, KANSAS CITY, KS 66160-0002
(913) 588-6701
Mailing address
108 HARDY ST, KNOB NOSTER, MO 65336-1544
(660) 563-1907

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2943
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2019
Last updated
07/29/2024
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