Provider Demographics
NPI:1598718389
Name:MAALE, KIM K (MD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:K
Last Name:MAALE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3108 MIDWAY RD
Mailing Address - Street 2:SUITE106
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6383
Mailing Address - Country:US
Mailing Address - Phone:972-608-0359
Mailing Address - Fax:972-608-0605
Practice Address - Street 1:3108 MIDWAY RD
Practice Address - Street 2:SUITE106
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6383
Practice Address - Country:US
Practice Address - Phone:972-608-0359
Practice Address - Fax:972-608-0605
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-04-15
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Provider Licenses
StateLicense IDTaxonomies
TXH2548207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE59108Medicare UPIN
TX00F54WMedicare ID - Type Unspecified