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Kevin Mallory, PA-C
NPI 1811188337 · on the registry since 2007 · sole proprietor
Practice
- Address
- 149 4th Ave N
Okanogan, WA 98840 - Phone
- (509) 422-7230
- Organisation at this address
- Okanogan County Sherriff Jail
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington