Organization
MULBERRY INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MULBERRY MD (OWNER)
(859) 275-1248
Entity
Organization
Contact information
Practice address
2425 REGENCY RD, SUITE B, LEXINGTON, KY 40503-2948
(859) 275-1248
(852) 275-1249
Mailing address
2425 REGENCY RD, SUITE B, LEXINGTON, KY 40503-2948
(859) 275-1248
(859) 275-1249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40872
KY
Other
Enumeration date
10/08/2010
Last updated
12/22/2010
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