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KENNY R. MALOTT M.D. INC.
NPI 1265902670
Dermatology in Kihei, HI

Active since November 28, 2018CLIA 12D0881550 · Certificate of Compliance
375 HUKU LII PL STE 201, KIHEI, HI 96753(808) 875-7546(808) 879-4585 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenny R. Malott M.d. Inc. NPPES

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

KENNY R. MALOTT M.D. INC. (NPI 1265902670) is a healthcare organization registered as a dermatology in Kihei, Hawaii and active in the NPI registry since November 2018. The organization holds a CLIA Certificate of Compliance certificate valid through June 21, 2027 and lists Jerri M Muscarella, Biller, as its authorized official.

NPPES Registry Identity

NPI1265902670
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKENNY R. MALOTT M.D. INC.
Location Address375 HUKU LII PL STE 201Kihei, HI 96753-8996
Mailing Address375 Huku Lii Pl Ste 201Kihei, HI 96753-8996 · (808) 875-7546 · Fax (808) 879-4585
Phone(808) 875-7546
Fax(808) 879-4585
Organization SubpartNo
Authorized OfficialJerri M MuscarellaBiller · (808) 875-7546
Enumeration DateNovember 28, 2018
✔ NPI 1265902670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
375 HUKU LII PL STE 201, Kihei, HI 96753
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Other Identifiers 1

Medicaid07102601HI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 12D0881550

Kenny R Malott MD Inc · Kihei, HI
Active · expires Jun 21, 2027
CLIA Number12D0881550
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr. Kenny R. Malott
Laboratory Phone(808) 875-7546
Laboratory LocationKenny R Malott MD Inc375 Huku Lii Place, Ste 201, Kihei, HI 96753
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny R. Malott M.D. Inc.'s NPI number?

The NPI number for Kenny R. Malott M.D. Inc. is 1265902670. It was assigned to this organization in the NPPES registry on November 28, 2018.

Where is Kenny R. Malott M.D. Inc. located?

Kenny R. Malott M.D. Inc. is located at 375 Huku Lii Pl Ste 201, Kihei, HI 96753. The listed phone number is (808) 875-7546.

What is Kenny R. Malott M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Kenny R. Malott M.D. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 12D0881550) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenny R. Malott M.D. Inc. was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.