Individual
MRS. MALLORY WATHEN LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
815 HILLCREST DR, BRANDENBURG, KY 40108-1415
(270) 422-4111
(270) 422-3629
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011343
KY
Other
Enumeration date
06/27/2017
Last updated
08/20/2024
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