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General NPI Number Information
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NPI Number | 1710800834
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Entity Type | Organization
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Legal Business Name | MALLORY KITCHELL PMHNP-BC, LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 2498 HARTSHORNE LAKE RD
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City | HARTSHORNE
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State | OK
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Zip | 74547-5094
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Country | US
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Telephone | 918-297-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 2498 HARTSHORNE LAKE RD
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City | HARTSHORNE
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State | OK
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Zip | 74547-5094
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Country | US
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Telephone | 918-297-6444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MALLORY KITCHELL
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Credential | PMHNP
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Telephone | 918-297-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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