DR. KENNY R MALOTT (NPI# 1548202203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548202203 |
| Entity Type | Individual |
| Full Name | DR. KENNY R MALOTT |
| Credential | M.D. |
| Practice Address |
375 Huku Lii Pl Suite 201 Kihei HI 96753-8996 |
| Practice Telephone | 8088757546 |
| Practice Fax Number | 8088794585 |
| Mailing Telephone | 8088757546 |
| Mailing Fax Number | 8088794585 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | MD8386 | HI | Allopathic & Osteopathic Physicians |
| X | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD8386 | HI | Allopathic & Osteopathic Physicians |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD8386 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HMSA | 092353 | 01 | |
| HI | 07102601 | 05 |
| Street Address |
375 HUKU LII PL SUITE 201 |
| City | KIHEI |
| State | HI |
| Zip Code | 96753-8996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749347 | John Marshall Knox II | Dermatology | 375 Huku Lii Pl, Suite 201, Kihei, HI 96753-8996 | 2005-06-08 |
| 1669507331 | Maui Dermatology | Specialist | 375 Huku Lii Pl, Suite 201, Kihei, HI 96753-8996 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490414 | Rheumatology Associates of Maui, LLC | Internal Medicine | 1444 S. Kihei Rd, Kihei, HI 96753 | 2020-09-01 |
| 1184259475 | Lindsey Therapy Services, LLC | Marriage & Family Therapist | 1847 South Kihei Rd., #205, Kihei, HI 96753 | 2020-03-06 |
| 1558922955 | Michaek Kalani Dacquel | Massage Therapist | 310 Ohukai Rd #312, Kihei, HI 96753 | 2019-06-26 |
| 1356830772 | Marc Kross Md Inc | Surgery | 30 E Lipoa St Unit 4108, Kihei, HI 96753 | 2018-05-02 |
| 1346793114 | Debra Bayer Inc | Substance Abuse Rehabilitation Facility | 1325 S Kihei Rd Ste 215, Kihei, HI 96753 | 2016-07-28 |
| 1912312364 | Lara Harvey | Marriage & Family Therapist | 1325 South Kihei Road, Suite 226b, Kihei, HI 96753 | 2014-06-24 |
| 1851735807 | Jeffrey Charles Olson | Dentist | 161 Wailea Ike Dr, Ste B104, Wailea, HI 96753 | 2013-04-22 |
| 1699016097 | Sky Lillian Sarah Connelly | Midwife | 484 Hoala Dr, Kihei, HI 96753 | 2013-03-09 |
| 1891031951 | Institute for Antiaging Studies | Clinic/Center | 214 Luakaha Cir, Kihei, HI 96753 | 2012-12-18 |
| 1790031433 | Zachary Hunter Rice | Acupuncturist | 344 Nehu Pl, Kihei, HI 96753 | 2012-07-31 |
| Find all providers in zip 96753 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134147994 | George M Martin | Dermatology | 41 E Lipoa Street, Suite 21, Kihei, HI 96753-8148 | 2006-07-18 |
| 1396749347 | John Marshall Knox II | Dermatology | 375 Huku Lii Pl, Suite 201, Kihei, HI 96753-8996 | 2005-06-08 |
| 1922550987 | Amy Reisenauer Md LLC | Dermatology | 1300 N Holopono St Ste 215, Kihei, HI 96753-6945 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844473 | Mahinakealo, LLC | Dermatology | 44-2881 Kalopa Mauka Rd, Honokaa, HI 96727-6853 | 2020-06-02 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1346417292 | Mika L Yamazaki | Dermatology | 95-151 Pali Momi Street, Aiea, HI 96701 | 2008-05-09 |
| 1952571416 | Timothy Hagino, M.d. LLC | Dermatology | 99-128 Aiea Heights Dr Ste 110, Aiea, HI 96701-3916 | 2008-03-11 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1568592772 | Monica M Scheel | Dermatology | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2007-03-06 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.