Individual
DR. KEITH ALLEN MALLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
719 E 7TH ST, GALENA, KS 66739-1703
(620) 783-2191
(620) 783-1937
Mailing address
PO BOX 185, GALENA, KS 66739-0185
(620) 783-2191
(620) 783-1937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS 1173-2
KS
Other
Enumeration date
09/03/2006
Last updated
11/25/2024
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