MR. Kevin L Mallory, PA-C
NPI #1811188337 in Okanogan, Washington
Provider Information
- NPI Number
- 1811188337
- Entity Type
- Individual
- Name
- MR. Kevin L Mallory, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 8, 2007
- Last Updated
- Aug 8, 2007
Practice Location
- Address
- 149 4TH AVE N
- City
- Okanogan
- State
- Washington
- ZIP Code
- 98840-9437
- Phone
- (509) 422-7230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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