Individual
DR. CHOLE G MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1329 E KEMPER RD STE 4212B, CINCINNATI, OH 45246-5100
(513) 283-0004
(513) 832-0499
Mailing address
1329 E KEMPER RD STE 4212B, CINCINNATI, OH 45246-5100
(513) 283-0004
(513) 580-7927
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35057702
OH
2084P0805X
Geriatric Psychiatry Physician
30162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025661
MEDICARE
OH
01
—
0256
MEDICARE
KY
05
—
0798570
—
OH
05
—
30607030
—
OH
01
—
6037
MEDICARE
KY
Enumeration date
04/19/2006
Last updated
04/12/2018
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