Most Relevant Information
Provider Data
| NPI Number: | 1003503665 |
| Provider Name: | PAMELA MALOTT RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 13-110311-052 |
Most Important Dates
| Enumeration Date: | 04/24/2023 |
| Last Updated: | 04/24/2023 |
Provider Practice Location
4101 S 4TH ST BLDG 160
LEAVENWORTH
KS
660485014
Practice Location Phone/Fax
| Phone: | 9136822000 |
| Fax: |
Provider Mailing Location
8415 CLEVELAND AVE
KANSAS CITY
KS
661092031
Provider Mailing Phone/Fax
| Phone: | 8168052777 |
| Fax: |