MALONNIE L KINNISON MD NPI 1689615494

NPI Information

NPI: 1689615494
Provider Name: MALONNIE L KINNISON, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361
Phone: (303) 761-9190
Get Directions

Malonnie L Kinnison, MD is a vascular and interventional radiology radiology in Scottsbluff, NE. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Malonnie L Kinnison, MD NPI is 1689615494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361-602
Phone: (303) 761-9190
Fax: (303) 761-6278

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	D0027477	MARYLAND	No
2	2085R0202X	Radiology	Diagnostic Radiology	24920	NEBRASKA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	D0027477	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	300092917	MEDICARE PIN	MARYLAND
2	P01105939	MEDICARE PIN	NEBRASKA
3	439851300	MEDICAID	MARYLAND
4	527L668C	MEDICARE PIN	MARYLAND
5	NA1215074	MEDICARE PIN	NEBRASKA
6	B70567	MEDICARE UPIN
7	NA1214074	MEDICARE PIN	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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