Individual
KEVIN C MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
23745 225TH WAY SE, SUITE 215, MAPLE VALLEY, WA 98038-5294
(425) 432-0821
(888) 259-5378
Mailing address
27628 239TH PL SE, MAPLE VALLEY, WA 98038-6702
(360) 886-5452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8334476
—
WA
Enumeration date
09/13/2006
Last updated
04/12/2014
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