Individual
CORA A MALLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7840 W 165TH ST STE 160, OVERLAND PARK, KS 66223-3021
(913) 373-2141
(913) 373-2146
Mailing address
7840 W 165TH ST STE 160, OVERLAND PARK, KS 66223-3021
(913) 373-2141
(913) 373-2146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0447050
KS
207Q00000X
Family Medicine Physician
2001013353
MO
207Q00000X
Family Medicine Physician
MD 2001013353
MO
Other
Enumeration date
01/26/2006
Last updated
12/15/2022
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