Individual
MALLORY ANNE CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2933 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220-1494
(502) 394-5678
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2647
KY
Other
Enumeration date
06/18/2020
Last updated
03/26/2025
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