KEVIN THOMAS MALONE MD
NPI 1174219166
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since April 13, 2023PECOS Enrolled
2401 S 31ST ST # 11AG062, TEMPLE, TX 76508(254) 724-5815 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 18, 2025, Apr 13, 2023 (2 updates tracked since 2023).

About Kevin Thomas Malone Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN THOMAS MALONE MD (NPI 1174219166) is an individual student in an organized health care education/training program in Temple, Texas, licensed in Texas (V7003) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174219166
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN THOMAS MALONECredential: MD
Location Address2401 S 31ST ST # 11AG062Temple, TX 76508-0001
Mailing Address2401 S 31st St # 11ag062Temple, TX 76508-0001 · (254) 724-5815
Sole ProprietorNo
Enumeration DateApril 13, 2023
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1174219166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TX · V7003
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.

2401 S 31ST ST # 11AG062, Temple, TX 76508

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Thomas Malone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174219166, enumerated as an "individual" on April 13, 2023.

The provider is located at 2401 S 31ST ST # 11AG062 TEMPLE, TX 76508 and the phone number is (254) 724-5815.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.