Kathryn Lucille Maloof, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO011040 Issued in GA

Practice address

1235 Pleasant Hill Rd
Lawrenceville, GA 30044-3003

Phone

(770) 923-1111

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maloof Chiropractic Clinic Inc.

  • Clinic/Center
  • Lawrenceville, GA
  • NPI 1770792186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1063294031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PLEASANT HILL RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443003",
            "telephone_number": "770-923-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PLEASANT HILL RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443003",
            "telephone_number": "770-923-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOOF",
        "first_name": "KATHRYN",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO011040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sade Malone
• Brian Joseph Maloney, PT, DPT
• Juliet Cynthia Maloney
• William H. Maloney Jr.
• Maloof Chiropractic Clinic Inc.
• Joyanna Dawn Malutinok
• Mama Bear Tele Care LLC
• Selamawit Y Mamo
• Mamokant God Favor Health Care LLC
• Amy Man, DMD

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.