Individual
MRS. KRISTIN LOUISE MULLONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1701 NICHOLASVILLE RD, LEXINGTON, KY 40503-1458
(859) 269-4668
Mailing address
114 VENICE PARK, LEXINGTON, KY 40503-1841
(859) 475-6168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4017363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4017363
KENTUCKYBOARDOFNURSING
KY
Enumeration date
03/25/2024
Last updated
03/25/2024
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