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NPI Code Detail

MEDICARE: ALICIA LYNN MULKEY

MEDICARE:   ALICIA LYNN MULKEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1982321204
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA LYNN MULKEY
Provider Business Mailing Address
First Line : 907 W SUGAR ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2131
Country : US
Telephone Number : 740-263-8402
Fax Number :
Provider Business Practice Location Address
First Line : 907 W SUGAR ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2131
Country : US
Telephone Number : 740-263-8402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2022
Last Update Date : 11/22/2022

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Directions to “ ALICIA LYNN MULKEY ” Practice Location

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