Individual
DR. CATHLEEN M MUCENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(849) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35060495
OH
207L00000X
Anesthesiology Physician
Primary
41369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543285
ANTHEM
—
05
—
2079923
—
OH
01
—
275524276- 611077369
HEALTHNET
—
05
—
6491764400
—
KY
Enumeration date
06/15/2006
Last updated
03/18/2008
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