# KENTUCKY EM-I MEDICAL SERVICES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720511082
- **Authorized official:** ANDREW MULVEY MD (OFFICER)
- **Authorized official phone:** (469) 401-2386

## Contact information

- **Practice address:** 1301 N RACE ST, GLASGOW, KY 42141-3454
- **Practice address phone:** (469) 401-2386
- **Mailing address:** 13737 NOEL RD, 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (469) 401-2386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2017
- **Last updated:** 02/16/2018