Mary Beth Mucklow in Louisville - Specialist
Mary Beth Mucklow - NPI 1720257124
Mary Beth Mucklow is a Specialist in Louisville, Kentucky. Mary Beth Mucklow practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary Beth Mucklow is 1720257124. The last update date is 2022-11-15.
Mary Beth Mucklow's current location address is 2944 Breckenridge Ln, Louisville, Kentucky. You can contact this provider via phone number 5028930159 and fax number 5022133884. The mailing address for Mary Beth Mucklow is 2944 Breckenridge Ln, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Beth Mucklow |
|---|---|
| Address | 2944 Breckenridge Ln, Louisville, Kentucky |
| Phone Number | 5028930159 |
| Fax Number | 5022133884 |
| Sole Proprietor | N |
| Credentials | AUD |
NPI Number Detail
| NPI Number | 1720257124 |
|---|---|
| Provider Enumeration Date | 2008-02-29 |
| Last Updated Date | 2022-11-15 |
Provider Mailing Address Detail
| Address | 2944 Breckenridge Ln |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402201409 |
| Phone Number | 5028930159 |
| Fax Number | 5022133884 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 520 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200937310 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Beth Mucklow by the Centers for Medicare & Medicaid Services?
The Mary Beth Mucklow has been assigned the NPI (National Provider Identifier) 1720257124 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Beth Mucklow?
The Mary Beth Mucklow is physically situated at 2944 Breckenridge Ln, in the city of Louisville, state of KY, with the postal code 402201409.
What is Mary Beth Mucklow's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Beth Mucklow is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Mary Beth Mucklow receive its 1720257124 assignment from the Centers for Medicare & Medicaid Services?
The Mary Beth Mucklow was assigned its 1720257124 by the Centers for Medicare & Medicaid Services on 2008-02-29.
As of what date were the Mary Beth Mucklow's details last updated?
The information pertaining to the Mary Beth Mucklow, including its address, specialty, and other details, was most recently updated on 2022-11-15.
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