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MR. KEVIN L MALLORY PA-C
NPI 1811188337
Physician Assistant - Medical in Okanogan, WA

Active since August 08, 2007
149 4TH AVE N, OKANOGAN, WA 98840(509) 422-7230 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin L Mallory Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN L MALLORY PA-C (NPI 1811188337) is an individual medical provider in Okanogan, Washington, licensed in Washington (PA10004352) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1811188337
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEVIN L MALLORYCredential: PA-C
Location Address149 4TH AVE NOkanogan, WA 98840-9437
Mailing AddressPo Box 4110Omak, WA 98841-4110
Phone(509) 422-7230
Sole ProprietorYes
Enumeration DateAugust 8, 2007
✔ NPI 1811188337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10004352
149 4TH AVE N, Okanogan, WA 98840
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OKANOGAN COUNTY SHERRIFF JAIL
Clinic/Center (Prison Health)
149 4TH AVE N
OKANOGAN, WA 98840
Okanogan County (509) 846-9376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mallory's NPI number?

The NPI number for Kevin Mallory is 1811188337. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Kevin Mallory located?

Kevin Mallory practices at 149 4th Ave N, Okanogan, WA 98840. The listed phone number is (509) 422-7230.

What is Kevin Mallory's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kevin Mallory was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.