Individual
MALLORY PAIGE WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
Mailing address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3330
KY
Other
Enumeration date
05/11/2023
Last updated
04/08/2025
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