Keith A Mallatt (NPI# 1386746857, PAC ID# 8921054495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1386746857 |
| PAC ID by PECOS | 8921054495 |
| Professional Enrollment ID | I20050328000806 |
| Full Name | Keith A Mallatt |
| Address |
719 E 7th St Galena KS 66739-1703 |
| Phone Number | 6207832191 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 719 E 7th St, Galena, KS 66739-1703 | 6207832191 | |
| 301 N Broadway St, Pittsburg, KS 66762-4806 | 6202311720 |
| Street Address |
719 E 7TH ST |
| City | GALENA |
| State | KS |
| Zip | 66739-1703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Christopher H Roberts | Obstetrics/gynecology | Incontinence and Osteoporosis Center LLC | 198 Four States Dr, Suite 1, Galena, KS 66739-4305 |
| Lindsey Rawlins | Nurse Practitioner | Manzer Family Medicine LLC | 1605, K66 Suite A, Galena, KS 66739-4306 |
| Regan M Gass | Nurse Practitioner | Manzer Family Medicine,llc | 1605 K66, Galena, KS 66739-4306 |
| Don D Enyart | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Karen L Sapp | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Buffy L Bunce | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Nancy Stultz | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Sandra K Main | Clinical Psychologist | Manzer Family Medicine,llc | 1605 K66, Galena, KS 66739-4306 |
| Terry L Vogt | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Find all physicians in zip 66739 | |||
| City | GALENA |
| Zip Code | 66739 |
| Specialty | OPTOMETRY |
| City + Specialty | GALENA + OPTOMETRY |
Please comment or provide details below to improve the information on Keith A Mallatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.