Provider Demographics
NPI:1518183490
Name:MALONE, KAREN ANNE
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:ANNE
Last Name:MALONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 N ANDREWS AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5297
Mailing Address - Country:US
Mailing Address - Phone:954-396-3908
Mailing Address - Fax:954-630-3359
Practice Address - Street 1:4021 N ANDREWS AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-5297
Practice Address - Country:US
Practice Address - Phone:954-396-3908
Practice Address - Fax:954-630-3359
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other