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Individual

DORRITA MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
98 RIVER STREET, CLAY CITY, KY 40312
(606) 663-7788
(606) 663-7785
Mailing address
98 RIVER ST, CLAY CITY, KY 40312-1314
(606) 663-7788
(606) 663-7785

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851545602
NPI NUMBER
KY
05
7100061910
KY
01
F1008078
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM
KY
01
MM2405935
KENTUCKY LICENSE FOR APRN
KY
Enumeration date
11/06/2008
Last updated
05/26/2016
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