Mulloy, Kimberly A

Mulloy, Kimberly A is an individual health care provider with primary practice located at 12660 Riverside Dr Ste 110 , Valley Village CA 91607-3430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mulloy, Kimberly A can be contacted via phone (818) 761-1800.

Contact Information

Primary practice address
12660 Riverside Dr Ste 110 Valley Village CA 91607-3430
Phone: (818) 761-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61300 California

Profile Details

NPI number 1528583382
LBN Legal business name Mulloy, Kimberly A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2017
Last updated Sep 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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