Individual
JESSICA MALACHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6680
(270) 825-7266
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
(270) 825-7266
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A170118
CA
207Q00000X
Family Medicine Physician
51161
KY
390200000X
Student in an Organized Health Care Education/Training Program
51661
KY
Other
Enumeration date
06/06/2016
Last updated
04/21/2022
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