Individual
MALLORY KAY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N 12TH ST, MURRAY, KY 42071-1648
(270) 873-8200
(270) 873-8201
Mailing address
300 S 8TH ST STE 505E, MURRAY, KY 42071-2460
(270) 753-3131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2108DT
KY
Other
Enumeration date
05/15/2018
Last updated
07/25/2019
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