Individual
MR. CLINT P. MALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MH APRN
Contact information
Practice address
2315 W 39TH ST, UNIT #6, KEARNEY, NE 68845-8327
(308) 233-3847
(308) 233-5921
Mailing address
2315 W 39TH ST, UNIT #6, KEARNEY, NE 68845-8327
(308) 233-3847
(308) 233-5921
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110744
NE
Other
Enumeration date
05/25/2006
Last updated
05/14/2008
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