MEDICARE: DR. ERICH CHARLES MAUL DO, MPH

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
1	208000000X	Pediatrics Physician	2961	KY
2	208M00000X	Hospitalist Physician	02961	KY

General Provider Information

NPI Number	:	1528054541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICH CHARLES MAUL DO, MPH

Provider Business Mailing Address
First Line	:	KENTUCKY CHILDRENS HOSPITAL
Second Line	:	800 ROSE STREET, H-404
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0001
Country	:	US
Telephone Number	:	859-218-2581
Fax Number	:

Provider Business Practice Location Address
First Line	:	KENTUCKY CHILDRENS HOSPITAL
Second Line	:	800 ROSE STREET, H-404
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0001
Country	:	US
Telephone Number	:	859-218-2581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/13/2020

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