Individual
MALLORY CLAIR POYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 N EAGLE CREEK DR STE 201, LEXINGTON, KY 40509-2125
(859) 967-5520
(859) 967-5444
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2969
CT
363AS0400X
Surgical Physician Assistant
PA09558
TX
363AS0400X
Surgical Physician Assistant
Primary
PA3172
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2969
PA LICENSE
CT
05
—
7100869150
—
KY
01
—
PA09558
TEXAS PHYSICIAN ASSISTANT LICENSE
TX
Enumeration date
08/07/2013
Last updated
03/04/2026
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