person
Mallory E Larkin, PA
Surgical Physician Assistant in Lawrence, Kansas
NPI 1124393095

Mallory E Larkin is a Surgical Physician Assistant based in Lawrence, KS and is specialized in Surgical. Mallory E Larkin practices in Lawrence, KS and has the professional credentials of PA. The NPI Number for Mallory E Larkin is 1124393095 and holds a License No. PA156716 (Kansas).

The current practice location address for Mallory E Larkin is 6265 Rock Chalk Dr Ste 1500, Lawrence, KS and can be reached out via phone at 785-843-9125 and via fax at 785-505-5312. You can also correspond with Mallory E Larkin through the mailing address at 325 MAINE ST, LAWRENCE, KS - 66044-1360 (mailing address contact number: 785-505-2988).

Location: 6265 Rock Chalk Dr Ste 1500, Lawrence, KS, 66044-1360
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Provider Profile Details
NPI Number
1124393095
Provider Name
Mallory E Larkin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6265 Rock Chalk Dr Ste 1500, Lawrence, KS, 66044-1360
Phone Number
785-843-9125
Fax Number
785-505-5312
Provider Enumeration Date
03/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30004345940001 05 KS
15-01709 01 KS STATE LICENSE
PA156716 01 OR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
6265 Rock Chalk Dr Ste 1500
City
State
Zip
66049-5232
Phone Number
785-843-9125
Fax Number
785-505-5312
person
Provider Business Mailing Address Details
Address
325 Maine St
City
State
Zip
66044-1360
Phone Number
785-505-2988
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA156716 (Oregon)
Definition
Definition to come...
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