Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH ALLEN MALLATT, O.D.
Active Sole ProprietorDR. KEITH ALLEN MALLATT, O.D. is a Optometrist healthcare provider located in GALENA, Kansas. NPI 1386746857 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GALENA, KS
Registration Details
- NPI Number
- 1386746857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2006 (19.937275512433 yrs)
- Last Updated
- Nov 25, 2024
- License
-
KS 1173-2 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
719 E 7TH STGALENA, KS, 667391703Browse KS providers · Browse ZIP 66739
- Phone
- 6207832191
- Fax
- 6207831937
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.