Individual
DR. KENNETH LESTER MALAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 BUCHANAN DR STE 3, BURNET, TX 78611-2329
(512) 715-3937
(512) 715-3938
Mailing address
1001 BUCHANAN DR STE 3, BURNET, TX 78611-2329
(512) 715-3937
(512) 715-3938
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G1707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659524007
NPI
—
Enumeration date
10/29/2008
Last updated
09/16/2009
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