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Keith A. Mallatt Od
Eyewear Supplier in Pittsburg, Kansas
NPI 1831379163

Keith A. Mallatt Od is a Eyewear Supplier based in Pittsburg, KS. Keith A. Mallatt Od practices in Pittsburg, KS. The NPI Number for Keith A. Mallatt Od is 1831379163 and holds a License No. KS 1173-2 (Kansas).

The current practice location address for Keith A. Mallatt Od is 301 N Broadway St, Pittsburg, KS and can be reached out via phone at 620-231-1720 and via fax at 620-231-1727.

Location: 301 N Broadway St, Pittsburg, KS, 66762-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831379163
Provider Name
Keith A. Mallatt Od
Credential
Provider Entity Type
Organization
Address
301 N Broadway St, Pittsburg, KS, 66762-4806
Phone Number
620-231-1720
Fax Number
620-231-1727
Provider Enumeration Date
11/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 N Broadway St
City
Pittsburg
State
Kansas
Zip
66762-4806
Phone Number
620-231-1720
Fax Number
620-231-1727
person
Provider Business Mailing Address Details
Address
301 N Broadway St
City
Pittsburg
State
Kansas
Zip
66762-4806
Phone Number
620-231-1720
Fax Number
620-231-1727
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
KS 1173-2 (Kansas)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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