person
Mr. Kevin L Mallory, PA-C
Medical Physician Assistant in Okanogan, Washington
NPI 1811188337

Kevin L Mallory is a Medical Physician Assistant based in Omak, WA and is specialized in Medical. Kevin L Mallory practices in Okanogan, WA and has the professional credentials of PA-C. The NPI Number for Kevin L Mallory is 1811188337 and holds a License No. PA10004352 (Washington).

The current practice location address for Kevin L Mallory is 149 4Th Ave N, Okanogan, WA and can be reached out via phone at 509-422-7230.

Location: 149 4Th Ave N, Okanogan, WA, 98841-4110
person
Provider Profile Details
NPI Number
1811188337
Provider Name
Kevin L Mallory
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
149 4Th Ave N, Okanogan, WA, 98841-4110
Phone Number
509-422-7230
Fax Number
Provider Enumeration Date
08/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
149 4Th Ave N
City
State
Zip
98840-9437
Phone Number
509-422-7230
Fax Number
person
Provider Business Mailing Address Details
Address
149 4Th Ave N
City
State
Zip
98840-9437
Phone Number
509-422-7230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10004352 (Washington)
Definition
Definition to come...
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