Individual
GRETCHEN KAY MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COF
Contact information
Practice address
4850 BROWNSBORO RD, LOUISVILLE, KY 40207-2342
(502) 899-9177
(502) 899-9178
Mailing address
4850 BROWNSBORO RD, LOUISVILLE, KY 40207-2342
(502) 899-9177
(502) 899-9178
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO00523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90006156
—
KY
Enumeration date
03/09/2006
Last updated
11/06/2007
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