Individual
DR. CHRISTOPHER MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 GREATSTONE PT STE A100, LEXINGTON, KY 40504-3274
(859) 323-7246
(859) 257-6768
Mailing address
5710 OLEANDER DR STE 201, WILMINGTON, NC 28403-4722
(333) 657-2468
(910) 338-0909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
51522
KY
207L00000X
Anesthesiology Physician
R3550
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
51522
KY
208VP0014X
Interventional Pain Medicine Physician
2019-00963
NC
208VP0014X
Interventional Pain Medicine Physician
51522
KY
208VP0014X
Interventional Pain Medicine Physician
83081
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100367930
—
KY
Enumeration date
06/17/2014
Last updated
06/17/2022
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