Individual provider · Type 1 NPI
Kevin L. Mallory, PA-C
Medical Physician Assistant · Okanogan, WA
NPI number
1811188337
Active
Practice location
149 4th Ave N
Okanogan, WA 98840-9437
Mailing address
PO Box 4110
Omak, WA 98841-4110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10004352 (WA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Okanogan
About NPI 1811188337
Kevin L. Mallory, PA-C's National Provider Identifier is 1811188337, issued on Aug 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Okanogan, WA. The record was last updated on Aug 8, 2007.