Individual
KATHLEEN RUTH MALANEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1202 PALM BLVD, SUITE A, ISLE OF PALMS, SC 29451-2296
(843) 886-4402
(843) 886-4430
Mailing address
6 43RD AVE, ISLE OF PALMS, SC 29451-2604
(843) 886-4974
(843) 886-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131146
—
SC
Enumeration date
07/09/2005
Last updated
07/21/2022
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