Individual
MRS. SHARRY D MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-6580
Mailing address
459 N SLATE CUT RD, SCOTTSBURG, IN 47170-6513
(812) 752-4786
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37001258A
IN
133V00000X
Registered Dietitian
Primary
KY-0509
KY
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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