Smith, Mallori
Smith, Mallori is an individual health care provider with primary practice located at 1501 W 7Th St Ste 2 , Chanute KS 66720-2516. 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. Smith, Mallori can be contacted via phone (620) 432-5588.Contact Information
Primary practice address
1501 W 7Th St Ste 2
Chanute KS 66720-2516
Phone: (620) 432-5588
Fax: (620) 431-1192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-02021 | Kansas |
Profile Details
NPI number | 1730607615 |
---|---|
LBN Legal business name | Smith, Mallori |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2017 |
Last updated | Aug 23rd, 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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