Individual
KEVIN O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RESERVOIR RD NW, DEPT. OF ORTHOPAEDIC SURGERY, WASHINGTON, DC 20007-2113
(202) 444-8766
Mailing address
4654 CHARLESTON TER NW, WASHINGTON, DC 20007-1900
(253) 318-2281
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD048567
DC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2014
Last updated
09/16/2020
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