Individual
MRINAL MULLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PARK ST, SUITE 204, BOWLING GREEN, KY 42101-1784
(270) 843-5103
(270) 843-5104
Mailing address
350 PARK ST, SUITE 204, BOWLING GREEN, KY 42101-1784
(270) 843-5103
(270) 843-5104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64011802
—
KY
Enumeration date
08/10/2005
Last updated
02/05/2015
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