Emma L Mallory
Geriatric Medicine
1100 Nw South Outer Rd Ste 200
Blue Springs
, Missouri 64015-3069
Emma L Mallory
Geriatric Medicine
1100 Nw South Outer Rd Ste 200
Blue Springs
, Missouri 64015-3069
(888) 256-3814
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Emma L Mallory
- 1100 Nw South Outer Rd Ste 200
- Blue Springs, MO
- Zip : 64015-3069
- Phone : (888) 256-3814
Second Address
- Emma L Mallory
- 1100 Nw South Outer Rd Ste 200
- Blue Springs, MO
- Zip : 64015-3069
- Phone : (888) 256-3814
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 2021043035 | MO |
National Provider Identifier
| NPI | 1013672104 |
|---|---|
| Provider Name | Emma L Mallory |
| First Address | Blue Springs, MO 64015-3069 |
| Second Address | Blue Springs, MO 64015-3069 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.