Nickeey Kissian Malcolm
M.D. | Pediatrics | Female
Nickeey Kissian Malcolm, M.D. is a Sanford, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nickeey Kissian Malcolm is
820 W Lake Mary Blvd, Suite 102, Sanford, Florida - 32773-5946. She can be contacted on phone at
407-955-4445 and fax number 407-955-4446.
Nickeey Kissian Malcolm is a sole proprietor of her business.
NPI number (Unique professional ID) for Nickeey Kissian Malcolm is
1942380977 which was assigned by NPPES on 16 Oct, 2006 and it was last updated on 23 Aug, 2016.
Nickeey Kissian Malcolm license number is
ME99391 for Pediatrics (208000000X) in Florida.
Nickeey Kissian Malcolm is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nickeey Kissian Malcolm basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nickeey Kissian Malcolm |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Nickeey Kissian Malcolm address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 820 W Lake Mary Blvd, Suite 102
Sanford, FL, 32773-5946
United States |
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| Phone Number : | 407-955-4445 |
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| Fax Number : | 407-955-4446 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942380977 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Oct, 2006 |
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| Last Updated On : | 23 Aug, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nickeey Kissian Malcolm are as mentioned. Primary taxonomy code for Nickeey Kissian Malcolm, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | TRN7776 | FL |
| 208000000X | Pediatrics | Yes | ME99391 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Nickeey Kissian Malcolm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000568000 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 820 W Lake Mary Blvd, Suite 102
Sanford, FL, 32773-5946
United States |
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| Phone Number : | 407-955-4445 |
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| Fax Number : | 407-955-4446 |
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Business Location:
Patients can refer following map for directions to
Nickeey Kissian Malcolm practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.