Individual
DR. KENNY R MALOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 HUKU LII PL, SUITE 201, KIHEI, HI 96753-8996
(808) 875-7546
(808) 879-4585
Mailing address
375 HUKU LII PL, SUITE 201, KIHEI, HI 96753-8996
(808) 875-7546
(808) 879-4585
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD8386
HI
207ND0101X
MOHS-Micrographic Surgery Physician
MD8386
HI
207NS0135X
Procedural Dermatology Physician
Primary
MD8386
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07102601
—
HI
01
—
092353
HMSA
—
Enumeration date
06/10/2006
Last updated
09/11/2025
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