Individual
KIMBERLY MARIE MULLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
64 E LAMOKA AVE, SAVONA, NY 14879-9714
(607) 527-9800
(607) 527-9866
Mailing address
64 E LAMOKA AVE, SAVONA, NY 14879-9714
(607) 527-9800
(607) 527-9866
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
370160
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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