Mallory, Brad Morris
Mallory, Brad Morris is an individual health care provider with primary practice located at 310 N L Rogers Wells Blvd , Glasgow KY 42141-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mallory, Brad Morris can be contacted via phone (270) 651-1111.Contact Information
Primary practice address
310 N L Rogers Wells Blvd
Glasgow KY 42141-1300
Phone: (270) 651-1111
Fax: (270) 659-5850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43602 | Kentucky |
Profile Details
| NPI number | 1417129982 |
|---|---|
| LBN Legal business name | Mallory, Brad Morris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2008 |
| Last updated | Mar 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417129982 | NPPES |
| Kentucky | MEDICAID | 7100134820 |
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