1972451334 NPI number — MR. MALCOLMX KIPCHIRCHIR CHELIMO

Table of content: MR. MALCOLMX KIPCHIRCHIR CHELIMO (NPI 1972451334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972451334 NPI number — MR. MALCOLMX KIPCHIRCHIR CHELIMO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHELIMO
Provider First Name:
MALCOLMX
Provider Middle Name:
KIPCHIRCHIR
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972451334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
127 FOREST HEIGHTS DR APT 713
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68467-1033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-596-9308
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 FOREST HEIGHTS DR # 68467713
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68467-1047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-759-3167
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WX0003X , with the licence number:  99766 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com