Provider Demographics
NPI:1295826378
Name:MALOZZI, KATHRINE H (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHRINE
Middle Name:H
Last Name:MALOZZI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KATHRINE
Other - Middle Name:L
Other - Last Name:HERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5870 ALUMNI CIR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36688-0002
Mailing Address - Country:US
Mailing Address - Phone:251-460-7151
Mailing Address - Fax:251-414-8227
Practice Address - Street 1:5870 ALUMNI CIR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-0002
Practice Address - Country:US
Practice Address - Phone:251-460-7151
Practice Address - Fax:251-414-8227
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39020000X207Q00000X
ALDO992207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine