Individual
JOHN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 WAR ADMIRAL WAY, SUITE 125, LEXINGTON, KY 40509
(859) 335-9041
(859) 335-9072
Mailing address
2251 WAR ADMIRAL WAY, SUITE 125, LEXINGTON, KY 40509
(330) 864-8900
(330) 869-8924
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208981
ANTHEM
KY
05
—
2335020
—
OH
01
—
50005444
PASSPORT
KY
05
—
64309909
—
KY
01
—
930113423
RR-MEDICARE
KY
01
—
C48249
CUMBERLAND
TN
Enumeration date
07/24/2006
Last updated
05/23/2019
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