Kimberly Marie Mullikin, REGISTERED NURSE
Individual provider Active NPI School Registered Nurse · Savona, NY
NPI 1215401971 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1215401971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 370160 (NY)
- Practice address
- 64 E Lamoka Ave
Savona, NY 14879-9714 - Phone
- (607) 527-9800
- Fax
- (607) 527-9866
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 370160 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 370160 | NY | Yes |
Addresses
Primary practice location
64 E Lamoka Ave
Savona, NY 14879-9714
Mailing address
64 E Lamoka Ave
Savona, NY 14879-9714
Phone (607) 527-9800
Other providers in Savona, NY
- Karin Lewis
- Jodi Sue Machuga
- Michelle Danielle Mills
- Crystal Lynne Moran
- Jody Marie Morse
- Arielle Elizabeth Romance
- Vicki Leigh Towner
All providers in Savona, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.