Individual
KOURY YOUNG MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-7946
Mailing address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1-148469
AL
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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