Individual
MRS. MALLORY ANNE MCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ROUDEBUSH VA MEDICAL CENTER, 1481 W 10TH ST, INDIANAPOLIS, IN 46202
(317) 988-2399
Mailing address
8051 S EMERSON AVE, STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 859-2701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
03/04/2020
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