Individual
MRS. BETH NICOLE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
49267
KY
207YX0901X
Otology & Neurotology Physician
Primary
49267
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49267
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
03/22/2009
Last updated
06/24/2020
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