Individual
MRS. KAITLIN MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1919 S GRAND BLVD, SPOKANE, WA 99203
(509) 747-3081
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60230746
WA
Other
Enumeration date
06/29/2011
Last updated
10/09/2019
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