Most Relevant Information
Provider Data
| NPI Number: | 1003274184 |
| Provider Name: | KATHLEEN MALCHOW OTR/EDM |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 4130 |
Most Important Dates
| Enumeration Date: | 02/04/2016 |
| Last Updated: | 02/04/2016 |
Provider Practice Location
9137 CONCORD HUNT CIR
BRENTWOOD
TN
370278762
Practice Location Phone/Fax
| Phone: | 6155454940 |
| Fax: |
Provider Mailing Location
9137 CONCORD HUNT CIR
BRENTWOOD
TN
370278762
Provider Mailing Phone/Fax
| Phone: | 6155454940 |
| Fax: |