Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9199852 | FL |
Y | 363L00000X | Nurse Practitioner | LP-0000359 | DE |
N | 363L00000X | Nurse Practitioner | R097739 | MD |
N | 363LA2100X | Nurse Practitioner - Acute Care | ARNP9199852 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | R097739 | MD |
NPI | 1033184163 |
---|---|
Provider Name | Mrs. Kim Mulkay |
First Address | Salisbury, MD 21801-5422 |
Second Address | Salisbury, MD 21801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 14/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000822600 | (05) | FL |