Kimberly Mullane in Winston Salem - Pediatrics

Kimberly Mullane - NPI 1154524163

Kimberly Mullane is a Pediatrics in Winston Salem, North Carolina. Kimberly Mullane practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberly Mullane is 1154524163. The last update date is 2007-07-08.

Kimberly Mullane's current location address is 4505 Shattalon Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3369249309 and fax number 3369240388. The mailing address for Kimberly Mullane is 4505 Shattalon Dr, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Mullane
Address 4505 Shattalon Dr, Winston Salem, North Carolina
Phone Number 3369249309
Fax Number 3369240388
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1154524163
Provider Enumeration Date 2007-06-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4505 Shattalon Dr
City Winston Salem
State North Carolina (NC)
Post Code 271062001
Phone Number 3369249309
Fax Number 3369240388

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No 5999
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7211772 NC --

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FAQs about Kimberly Mullane

What is the unique 10-digit identification code issued to Kimberly Mullane by the Centers for Medicare & Medicaid Services?

The Kimberly Mullane has been assigned the NPI (National Provider Identifier) 1154524163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Kimberly Mullane is geographically located?

The Kimberly Mullane is physically situated at the following location: 4505 Shattalon Dr, Winston Salem, NC, 271062001.

What is Kimberly Mullane's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kimberly Mullane is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 225Xp0200X.

On what date did the Kimberly Mullane receive the assignment of its 1154524163 from the Centers for Medicare & Medicaid Services?

The Kimberly Mullane was issued its 1154524163 by the Centers for Medicare & Medicaid Services on 2007-06-07.

As of what date were the Kimberly Mullane's details last updated?

The information pertaining to the Kimberly Mullane, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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