MEDICARE: MALLORY MCKINNEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9209	AZ

General Provider Information

NPI Number	:	1336789437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALLORY MCKINNEY DC

Provider Business Mailing Address
First Line	:	3126 S HIGLEY RD STE 102
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-2030
Country	:	US
Telephone Number	:	480-988-2974
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 E RAY RD STE 4A
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-1777
Country	:	US
Telephone Number	:	480-659-2000
Fax Number	:	480-659-3201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	12/09/2025

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Directions to “ MALLORY MCKINNEY DC” Practice Location

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