Individual
MALLORI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 W 7TH ST STE 2, CHANUTE, KS 66720-2516
(620) 432-5588
(620) 431-1192
Mailing address
PO BOX 426, CHANUTE, KS 66720-0426
(620) 432-5588
(620) 431-1192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02021
KS
Other
Enumeration date
08/31/2017
Last updated
08/23/2023
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