Individual provider · Type 1 NPI

Kathleen Mallette

Student in an Organized Health Care Education/Training Program · Lewisburg, WV

NPI number 1487550786 Active

Practice location

1464 Jefferson St N
Lewisburg, WV 24901-1380

Call (304) 645-3220 Map

Fax (844) 479-4545

Mailing address

1742 Rutledge Rd
Longwood, FL 32779-7024

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 1487550786

Kathleen Mallette's National Provider Identifier is 1487550786, issued on Oct 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lewisburg, WV. The record was last updated on Oct 15, 2026.