Mallory, Katrina

Mallory, Katrina is an individual health care provider with primary practice located at 3700 W Kilgore Ave , Muncie IN 47304-4810. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Mallory, Katrina can be contacted via phone (765) 289-5437.

Contact Information

Primary practice address
3700 W Kilgore Ave Muncie IN 47304-4810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1750718920
LBN Legal business name Mallory, Katrina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2013
Last updated Aug 7th, 2019 - about 5 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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