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NPI Code Detail

MEDICARE: MRS. TAYLOR MICHELLE PULCHNY

MEDICARE: MRS. TAYLOR MICHELLE PULCHNY
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
1390200000XStudent in an Organized Health Care Education/Training Program390200000OK

General Provider Information

NPI Number : 1619422995
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAYLOR MICHELLE PULCHNY
Provider Business Mailing Address
First Line : 1805 S 9TH ST
Second Line :
City : MCALESTER
State : OK
Zip : 74501-7359
Country : US
Telephone Number : 918-424-4558
Fax Number :
Provider Business Practice Location Address
First Line : 727 E WYANDOTTE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5427
Country : US
Telephone Number : 918-420-5343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2016
Last Update Date : 06/15/2021

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Directions to “ MRS. TAYLOR MICHELLE PULCHNY ” Practice Location

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