Mallory, Haley C

Mallory, Haley C is an individual health care provider with primary practice located at 440 E Happy Valley St , Cave City KY 42127-8844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mallory, Haley C can be contacted via phone (270) 773-2111.

Contact Information

Primary practice address
440 E Happy Valley St Cave City KY 42127-8844
Phone: (270) 773-2111
Fax: (270) 773-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016595 Kentucky

Profile Details

NPI number 1275277121
LBN Legal business name Mallory, Haley C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2022
Last updated Mar 2nd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275277121 NPPES
Kentucky MEDICAID 7100810630

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