Individual
KERRY MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
10806 GOLDEN MAPLE PL, LOUISVILLE, KY 40223-5525
(502) 689-5490
Mailing address
10806 GOLDEN MAPLE PL, LOUISVILLE, KY 40223-5525
(502) 689-5490
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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