MRS. DIANE M MALCOM


Address: 5500 E Kellogg Dr, Wichita, KS 67218-1607
Phone: 3166852221

MRS. DIANE M MALCOM (NPI# 1235371733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235371733
Entity Type Individual
Full Name MRS. DIANE M MALCOM
Credential RN, BSN, CWS
Practice Address 5500 E Kellogg Dr
Wichita
KS 67218-1607
Practice Telephone 3166852221
Practice Fax Number 3166512954
Mailing Telephone 3166852221
Mailing Fax Number 3166512954
Enumeration Date 2009-03-30
Last Update Date 2009-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WW0000X Registered Nurse
Specialization: Wound Care
13-40815-072 KS Nursing Service Providers

Office Location

Street Address 5500 E KELLOGG DR
City WICHITA
State KS
Zip Code 67218-1607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729673 Catherine A Toomey Physician Assistant 5500 E Kellogg Dr, Wichita, KS 67218-1607 2005-06-13
1225642051 Mark Clark Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-08-31
1598377483 Rachel Elaine Donis Occupational Therapist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-08-20
1164030060 Jacob Michael Goeser Optometrist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-07-16
1992329262 Aimee Boriboun Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-06-02
1760012900 Lisa Christy Nurse Practitioner 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-01-15
1790324499 Linda Walim Nola Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-12-27
1164078010 Daniel Steven Haley Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-16
1790331783 Jason Alan Jester Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-15
1629624770 Emily Suzanne Stuart Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114544392 Diana Ho Optometrist 980 Oliver Street, Wichita, KS 67218 2020-07-03
1134773690 Lily Lopez Nurse's Aide 5107 E Kellogg Drive, Wichita, KS 67218 2019-08-01
1750862512 Kelsi Wenger Student in an Organized Health Care Education/Training Program 5500 E Kellog Dr, Wichita, KS 67218 2018-08-28
1770038937 Hair Replacement Clinic Specialist 1815 S Windsor, Wichita, KS 67218 2016-08-17
1457757346 South Wind Women's Centter, LLC Clinic/Center 5701 E Kellogg Drive, Wichita, KS 67218 2014-11-05
1124460787 Teri Kitchen Social Worker 3414 Kinkaid, Wichita, KS 67218 2013-07-24
1053660142 Glenda Rodgers-lawless, Ph.d., Lcpc, Pa Community/Behavioral Health 4601 E Douglas, Wichita, KS 67218 2012-09-05
1649541848 Stephen Rhinehart Registered Nurse 5500 E Kellogg Dr., Wichita, KS 67218 2012-01-19
1457666927 Recovery Services Council Inc. Point of Service 1611 South Rutan, Wichita, KS 67218 2010-08-09
1043535867 Melissa A Weinley Respiratory Therapist, Registered 5500 East Kellog Dr, Wichita, KS 67218 2010-04-05
Find all providers in zip 67218

Taxonomy Information

Taxonomy Code 163WW0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Wound Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568606341 Yvonna Marie Tozier Registered Nurse 5500 East Kellogg, Wichita, KS 67218-1607 2009-04-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316556772 St. Catherine Hospital Registered Nurse 310 E Walnut St Ste 201, Garden City, KS 67846-5560 2020-07-30
1992994735 Maureen Kay Downing Registered Nurse 1203 Court Pl, Colby, KS 67701-3617 2007-10-17
1437613429 Meredith Hill Registered Nurse 4000 Cambridge St, Kansas City, KS 66160-8501 2019-01-24

Competitor

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City WICHITA
Zip Code 67218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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