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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN L MALLORY, PA-C

Active Sole Proprietor

MR. KEVIN L MALLORY, PA-C is a Medical Physician Assistant healthcare provider located in OKANOGAN, Washington. NPI 1811188337 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · OKANOGAN, WA

Registration Details

NPI Number
1811188337
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2007 (18.835375051984 yrs)
Last Updated
Aug 8, 2007
License
PA10004352 (WA)
Sole Proprietor
Yes

Practice Information

Address
149 4TH AVE N
OKANOGAN, WA, 988409437
Browse WA providers · Browse ZIP 98840
Phone
5094227230
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in OKANOGAN, WA

Name Credential NPI
AMANDA B SEGARS-HUFFSTETLER PA-C 1053364935
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.