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NPI Code Detail

MEDICARE: KAITLIN MULLAHEY

MEDICARE: KAITLIN MULLAHEY
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
1225X00000XOccupational TherapistOT011408OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023603065
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN MULLAHEY
Provider Business Mailing Address
First Line : 7591 TYLERS PLACE BLVD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4325 RED BANK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-2174
Country : US
Telephone Number : 513-271-2419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2021
Last Update Date : 03/02/2021

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Directions to “ KAITLIN MULLAHEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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