Ketterer, Mallory Leigh

Ketterer, Mallory Leigh is an individual health care provider with primary practice located at 6675 Business Pkwy Ste F , Elkridge MD 21075-6349. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ketterer, Mallory Leigh can be contacted via phone (866) 799-5886.

Contact Information

Primary practice address
6675 Business Pkwy Ste F Elkridge MD 21075-6349
Phone: (866) 799-5886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN177978 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 255819 Arizona

Profile Details

NPI number 1144821968
LBN Legal business name Ketterer, Mallory Leigh
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2020
Last updated Aug 28th, 2023 - about last year

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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