Individual
LUELLEN MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14105 NW 74TH ST, KANSAS CITY, MO 64152-5115
(816) 679-1573
Mailing address
14105 NW 74TH ST, KANSAS CITY, MO 64152-5115
(816) 679-1573
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
R8H66
MO
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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