Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41957 | KY |
N | 111NI0900X | Internist | 41957 | KY |
Y | 207RP1001X | Pulmonary Disease | 41957 | KY |
NPI | 1013170794 |
---|---|
Provider Name | Joseph Conrad Mueller |
First Address | Lexington, KY 40591-0670 |
Second Address | Lexington, KY 40503-2973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 06/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100054270 | (05) | KY |