Individual provider · Type 1 NPI

Miranda Mallicoat

Surgical Assistant · Louisville, KY

NPI number 1487309290 Active

Practice location

3900 Kresge Way Ste 51
Louisville, KY 40207-4683

Call (502) 259-5955 Map

Mailing address

5200 Commerce Crossings Dr Fl 3
Louisville, KY 40229-2182

Other practice locations

  • 1919 State St Ste 250, New Albany, IN 47150-6805 · (812) 949-5933

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XTSA026 (KY)
Surgical Assistant Primary 246ZC0007XTSA026 (KY)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1487309290

Miranda Mallicoat's National Provider Identifier is 1487309290, issued on Feb 21, 2022. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Louisville, KY. The record was last updated on Mar 9, 2022.