Kacie Leigh Mallard, LPN
NPI #1255211942 in Statesboro, Georgia
Provider Information
- NPI Number
- 1255211942
- Entity Type
- Individual
- Name
- Kacie Leigh Mallard, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 4, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 1404 MALLARD POND RD
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30461-8569
- Phone
- (912) 531-0721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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