Individual
HALEY C MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
440 E HAPPY VALLEY ST, CAVE CITY, KY 42127-8844
(270) 773-2111
(270) 773-2117
Mailing address
440 E HAPPY VALLEY ST, CAVE CITY, KY 42127-8844
(270) 773-2111
(270) 773-2117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100810630
—
KY
Enumeration date
04/26/2022
Last updated
03/02/2023
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