Individual
MALLORY L BARTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 ROSE ST, MS-463, LEXINGTON, KY 40536-0202
(859) 323-0100
(859) 257-6066
Mailing address
800 ROSE ST, MS-463, LEXINGTON, KY 40536-0202
(859) 323-0100
(859) 257-6066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1985
KY
Other
Enumeration date
02/10/2015
Last updated
10/15/2018
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