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Individual
BRIAN T MULBERRY
Active
Individual
BRIAN T MULBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38683
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000337046
ANTHEM
KY
05
—
64090988
—
KY
01
—
79578580
AETNA
KY
Enumeration date
05/25/2006
Last updated
09/27/2012
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