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: July 19, 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.Information from the official NPPES registry record.

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
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

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D0881550
Facility Type
Physician Office
Certificate Effective Date
June 22, 2025
Certificate Expiration Date
June 21, 2027
Laboratory Director
DR. KENNY R. MALOTT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kenny R. Malott M.d. Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265902670, enumerated as an "organization" on November 28, 2018.

The provider is located at 375 HUKU LII PL STE 201 KIHEI, HI 96753 and the phone number is (808) 875-7546.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.