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NPI Code Detail

MEDICARE: ALLIE MULLENDER

MEDICARE: ALLIE MULLENDER
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 Therapist17-02923KS

General Provider Information

NPI Number : 1033512520
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLIE MULLENDER
Provider Business Mailing Address
First Line : 5815 ROCKHILL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64110-3113
Country : US
Telephone Number : 913-593-4606
Fax Number :
Provider Business Practice Location Address
First Line : 3715 W 133RD ST
Second Line :
City : LEAWOOD
State : KS
Zip : 66209-3347
Country : US
Telephone Number : 913-213-3531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2014
Last Update Date : 03/08/2021

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