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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417129982 NPPES
Kentucky MEDICAID 7100134820

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