Individual
KATHRYN HOLLIS MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1436 BELLE GLADE ST, JACKSON, MS 39211-5936
(662) 907-1599
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T-2457
MS
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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