MRS. MALLORY WATHEN LYNCH (NPI# 1720508120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720508120 |
| Entity Type | Individual |
| Full Name | MRS. MALLORY WATHEN LYNCH |
| Other Name | MS. MALLORY ANN WATHEN |
| Credential | APRN |
| Practice Address |
815 Hillcrest Dr Brandenburg KY 40108-1415 |
| Practice Telephone | 2704224111 |
| Practice Fax Number | 2704223629 |
| Mailing Telephone | 2704224111 |
| Mailing Fax Number | 2704223629 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3011343 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558674846 | Mallory Nicole Lynch | Optometrist | 500 Canyon Ridge Dr Ste L300, Austin, TX 78753-1650 | 2010-07-15 |
| 1548425655 | Mallory Brett Lynch | Psychologist | 1268 Suncrest Rd, Talent, OR 97540-9642 | 2008-07-29 |
| Street Address |
815 HILLCREST DR |
| City | BRANDENBURG |
| State | KY |
| Zip Code | 40108-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356328066 | Bryan M Honaker | Family Medicine | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2005-12-23 |
| 1851856876 | Celeste Nicole Hardesty | Nurse Practitioner | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2019-02-04 |
| 1972923340 | Amanda Foring | Physical Therapist | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2014-04-23 |
| 1598016263 | Holly Schultz Pollock | Nurse Practitioner | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2012-09-21 |
| 1962570077 | Roger Lee Behrman | Physical Therapist | 815 Hillcrest Dr, Suite C, Brandenburg, KY 40108-1415 | 2006-11-30 |
| 1578646824 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 815 Hillcrest Dr, Suite C, Brandenburg, KY 40108-1415 | 2006-10-23 |
| 1912919929 | Meade Physicians, Inc. | Nurse Practitioner | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468036 | Elisabeth Shoulders | Specialist/Technologist | 1010 Turner Road, Brandenburg, KY 40108 | 2017-07-03 |
| 1760890958 | Kimberly Ryan | Social Worker | 2020 Bypass Rd, Brandenburg, KY 40108 | 2014-07-31 |
| 1962790600 | Meade Family Eye, Pllc | Optometrist | 664 By Pass Rd, Brandenburg, KY 40108 | 2011-07-15 |
| 1295066934 | Raymond Lewis Mathis | Family Medicine | 65 Cedar Vista Dr, Brandenburg, KY 40108 | 2010-01-20 |
| 1790951804 | Elizabeth Mary Wright | Physical Therapist | 1155 Old Ekron Rd, Brandenburg, KY 40108 | 2008-05-08 |
| 1427240704 | Bluegrass Massage Theraputics | Clinic/Center | 365 East Broadway Suite 2, Brandenburg, KY 40108 | 2007-08-10 |
| 1710969316 | Lincoln Trail District Health Dept | Public Health or Welfare | 520 Hillcrest Dr, Brandenburg, KY 40108 | 2005-11-18 |
| 1437676475 | Ack Healthcare Management, LLC | Nurse Practitioner | 2025 Bypass Rd Ste 205, Brandenburg, KY 40108 | 2017-08-29 |
| 1598135055 | Forefront Dermatology, S.c. | Dermatology | 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 | 2015-09-28 |
| 1457479396 | Robert Eugene Smith | Family Medicine | 534 Hillcrest Drive, Brandenburg, KY 40108 | 2007-03-27 |
| Find all providers in zip 40108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345039 | Graham Family Care LLC | Nurse Practitioner | 365 Broadway St Unit 2, Brandenburg, KY 40108-1145 | 2019-09-19 |
| 1174866636 | Christopher G Pickering | Nurse Practitioner | 1010 Lawrence St, Brandenburg, KY 40108-1401 | 2013-04-03 |
| 1851856876 | Celeste Nicole Hardesty | Nurse Practitioner | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2019-02-04 |
| 1760973895 | Stephanie R Woosley | Nurse Practitioner | 1065 Old Ekron Rd, Brandenburg, KY 40108-1735 | 2018-05-24 |
| 1114437795 | Katherine Haydon Baldwin | Nurse Practitioner | 1010 Lawrence St, Brandenburg, KY 40108-1401 | 2017-10-09 |
| 1598016263 | Holly Schultz Pollock | Nurse Practitioner | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2012-09-21 |
| 1912919929 | Meade Physicians, Inc. | Nurse Practitioner | 815 Hillcrest Dr, Brandenburg, KY 40108-1415 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BRANDENBURG |
| Zip Code | 40108 |
Please comment or provide details below to improve the information on MRS. MALLORY WATHEN LYNCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.