Doctor Name: | OLEVA JANE COLEMAN MULLINS |
NPI Number: | 1003099243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C. |
License Number: | TC074 |
Business Practice Address: | 1401 Harrodsburg Rd Suite A-540 Lexington, KY - 405043751 |
Business Phone Number: | 8592586760 |
Business Fax Number: | 8592586512 |
Mailing Address: | 800 Rose St, LEXINGTON |
State: | KY |
Postal Code: | 405360001 |
Phone Number: | 8593235908 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2007 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | TC074 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |