Quesenberry, Mallory Elizabeth

Quesenberry, Mallory Elizabeth is an individual health care provider with primary practice located at 3601 Ne Ralph Powell Rd Ste C , Lees Summit MO 64064-2316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Quesenberry, Mallory Elizabeth can be contacted via phone (816) 285-5053.

Contact Information

Primary practice address
3601 Ne Ralph Powell Rd Ste C Lees Summit MO 64064-2316
Phone: (816) 285-5053
Fax: (816) 842-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2020001927 Missouri

Profile Details

NPI number 1568009488
LBN Legal business name Quesenberry, Mallory Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Oct 6th, 2022 - about 3 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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