Mallard, Christopher
Mallard, Christopher is an individual health care provider with primary practice located at 2400 Greatstone Pt Ste A100 , Lexington KY 40504-3274. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mallard, Christopher can be contacted via phone (859) 323-7246.Contact Information
Primary practice address
2400 Greatstone Pt Ste A100
Lexington KY 40504-3274
Phone: (859) 323-7246
Fax: (859) 257-6768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 51522 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | R3550 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 51522 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 83081 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 2019-00963 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 51522 | Kentucky |
Profile Details
| NPI number | 1134533102 |
|---|---|
| LBN Legal business name | Mallard, Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2014 |
| Last updated | Jun 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134533102 | NPPES |
| Kentucky | MEDICAID | 7100367930 |
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