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Deactivated NPI 1609893296 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth R. Maloney , MD

Dermatology • Jackson, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Maloney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date March 20, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Maloney, MD was a registered Dermatology practicing in Jackson, TN. Throughout an active medical career spanning 18 years, Dr. Maloney provided care at the practice location at 294 SUMMAR DRIVE until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

294 Summar Drive

Jackson, TN 38301

Telephone 7314031932
Fax 7314100367

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Jackson, TN (241 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TN 10028

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1083632251

Doctor of Medicine (M.D.)

Dr. David Maness , DO

Family Medicine

NPI 1093705576

Doctor of Osteopathic Medicine (D.O.)

Saurabh Sachan

Emergency Medicine

NPI 1225422637
Justin Turner

Family Medicine

NPI 1235670647
NPI 1265774236

Doctor of Medicine (M.D.)

Dr. Matthew Wynne , MD

Emergency Medicine

NPI 1306263678

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active April 11, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2011

Registered at 294 SUMMAR DRIVE, JACKSON, TN 38301 (Tel: 7314031932)

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Updated Business Mailing Address April 11, 2011

Registered at 294 SUMMAR DRIVE, JACKSON, TN 38301 (Tel: 7314231932)

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Provider Name / Credentials Updated April 11, 2011

Recorded as KENNETH MALONEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2011

Dermatology (License #10028 in TN)

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Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609893296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: April 11, 2011
Deactivation Date: March 20, 2024

Mailing Address

294 Summar Drive

Jackson, TN 38301

Phone: 7314231932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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