Individual provider · Type 1 NPI

Carolyn T. Mallillin, MD

Family Medicine Physician · Louisville, KY

NPI number 1194719971 Active

Practice location

1900 Bluegrass Ave Ste 300
Louisville, KY 40215-1183

Mailing address

174 China Blue Ln
Cape Girardeau, MO 63701-3800

Other practice locations

  • 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 · (573) 686-4151

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X45207 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

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About NPI 1194719971

Carolyn T. Mallillin, MD's National Provider Identifier is 1194719971, issued on Sep 7, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Louisville, KY. The record was last updated on Jan 14, 2021.