Johnson, Mallory Quinn

Johnson, Mallory Quinn is an sole proprietor health care provider with primary practice located at 449 Kelso Trl , Corbin KY 40701-8502. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Johnson, Mallory Quinn can be contacted via phone (606) 273-6971.

Contact Information

Primary practice address
449 Kelso Trl Corbin KY 40701-8502
Phone: (606) 273-6971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3015641 Kentucky
Nursing Service Providers / Registered Nurse 163W00000X 1129317 Kentucky

Profile Details

NPI number 1972110815
LBN Legal business name Johnson, Mallory Quinn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2020
Last updated Jan 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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