Kevin James Malloy
Kevin James Malloy is a Peer Specialist in Corvallis, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
456 SW Monroe AveCorvallis, OR 97333-4781
Phone: (541) 791-3411
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1184259137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 10, 2020 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
| Mailing address | 456 Sw Monroe Ave, Corvallis, OR 97333-4781 |
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