Individual provider · Type 1 NPI

Mallory A. Kisner, MA

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1174453682 Active

Practice location

1 University Of New Mexico, MSC09-5030
Albuquerque, NM 87131-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174453682

Mallory A. Kisner, MA's National Provider Identifier is 1174453682, issued on May 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on May 19, 2026.