Individual
DR. KEVIN G MALISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
123 W WATER ST, HODGENVILLE, KY 42748-1535
(270) 358-3604
(270) 358-3604
Mailing address
123 W WATER ST, HODGENVILLE, KY 42748-1535
(270) 358-3604
(270) 358-3604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4676
KY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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