Organization
MARSHALL EMERGENCY SERVICES ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MULLINS MD (PRESIDENT)
(859) 335-9041
Entity
Organization
Contact information
Practice address
3205 SUMMIT SQUARE PL, SUITE 100, LEXINGTON, KY 40509-2650
(859) 335-9041
(859) 335-9072
Mailing address
3205 SUMMIT SQUARE PL, SUITE 100, LEXINGTON, KY 40509-2636
(859) 335-9041
(859) 335-9072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200875830 A
—
IN
05
—
2335280
—
OH
05
—
7100008470
—
KY
Enumeration date
06/12/2006
Last updated
09/06/2011
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