Provider Demographics
NPI:1629168737
Name:MALONE, JONATHAN KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:KAY
Last Name:MALONE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:JAMES MADISON UNIVERSITY HEALTH CTR
Mailing Address - Street 2:MSC 7901
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-6178
Mailing Address - Fax:540-568-7803
Practice Address - Street 1:JAMES MADISON UNIVERSITY HEALTH CTR
Practice Address - Street 2:MSC 7901
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-6178
Practice Address - Fax:540-568-7803
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101028397207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB09044Medicare UPIN