Individual
MRS. KIMBERLY ANN MULROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
5129 DIXIE HWY STE 100, LOUISVILLE, KY 40216-1727
(502) 447-3338
(502) 448-4722
Mailing address
100 E LIBERTY ST, SUITE 800 - BUSINESS OFFICE, LOUISVILLE, KY 40202-1434
(502) 772-1822
(502) 774-8464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100186890
—
KY
01
—
P01541709
MEDICARE RR
KY
Enumeration date
09/28/2011
Last updated
11/29/2018
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