Keith A. Mallatt OD
Keith A. Mallatt OD is an Eyewear Supplier in Pittsburg, Kansas. Licensed in Kansas. Registered with an NPI since 2007.
- Licensed in
- KS
- In the registry since
- 2007
Practice location Address checks out
301 N Broadway StPittsburg, KS 66762-4806
Phone: (620) 231-1720
Fax: (620) 231-1727
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence KS 1173-2 (KS) |
|---|
Record details
| NPI number | 1831379163 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Mallatt — Owner · (620) 231-1720 |
| NPI enumerated | November 3, 2007 |
| Last updated in NPPES | April 20, 2010 |
| Mailing address | 301 N Broadway St, Pittsburg, KS 66762-4806 |