person
Dr. Amanda Malnikoff, DO
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1104561174

Amanda Malnikoff is a Student in an Organized Health Care Education/Training Program based in Charleston, WV. Amanda Malnikoff practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Amanda Malnikoff is 1104561174 and holds a License No. (West Virginia).

The current practice location address for Amanda Malnikoff is 3200 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-5590.

Location: 3200 Maccorkle Ave Se, Charleston, WV, 25304-1297
person
Provider Profile Details
NPI Number
1104561174
Provider Name
Amanda Malnikoff
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3200 Maccorkle Ave Se, Charleston, WV, 25304-1297
Phone Number
304-388-5590
Fax Number
Provider Enumeration Date
05/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304-1297
Phone Number
304-388-5590
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304-1297
Phone Number
304-388-5590
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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