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Individual

KAITLYN MALONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS. ED., ATC, LAT

Contact information

Practice address
125 JAN LN APT 2, DE SOTO, IL 62924-0045
(302) 353-6468
Mailing address
125 JAN LN APT 2, DE SOTO, IL 62924-0045
(302) 353-6468

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2000017799
IL

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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