Dorrita Mullins (NPI# 1851545602, PAC ID# 1355404658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851545602 |
| PAC ID by PECOS | 1355404658 |
| Professional Enrollment ID | I20090113000608 |
| Full Name | Dorrita Mullins |
| Organization Legal Name | CLAY CITY PEDIATRICS, PSC |
| Address |
98 River St Clay City KY 40312-1314 |
| Phone Number | 6066637788 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678753530 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180092 | CLARK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 98 River St, Clay City, KY 40312-1314 | 6066637788 | CLAY CITY PEDIATRICS, PSC |
| Organization Legal Name | CLAY CITY PEDIATRICS, PSC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhamed Ayman Albaree | Internal Medicine | Clay City Pediatrics, Psc | 98 River St, Clay City, KY 40312-1314 |
| Leslie Rae Cordial | Nurse Practitioner | Clay City Pediatrics, Psc | 98 River St, Clay City, KY 40312-1314 |
| Christy R Kennon | Nurse Practitioner | Clay City Pediatrics, Psc | 98 River St, Clay City, KY 40312-1314 |
| Street Address |
98 RIVER ST |
| City | CLAY CITY |
| State | KY |
| Zip | 40312-1314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhamed Ayman Albaree | Internal Medicine | Clay City Pediatrics, Psc | 98 River St, Clay City, KY 40312-1314 |
| Leslie Rae Cordial | Nurse Practitioner | Clay City Pediatrics, Psc | 98 River St, Clay City, KY 40312-1314 |
| Christy R Kennon | Nurse Practitioner | Clay City Pediatrics, Psc | 98 River St, Clay City, KY 40312-1314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Sloop | Anesthesiology | 5860 Main St, Clay City, KY 40312-1319 | |
| Gari Michelle Kiser | Nurse Practitioner | Kentucky River Foothills Development Council, Inc. | 108 12th St, Clay City, KY 40312-8979 |
| Lisa Dawn Finn | Internal Medicine | Kentucky River Foothills Development Council, Inc. | 108 12th St, Clay City, KY 40312-8979 |
| Rebekah Lynn Mattingly | Nurse Practitioner | Mercy Health Clinics,llc | 749 Irvine Rd, Clay City, KY 40312-9732 |
| Julie R Kennon | Family Medicine | Mercy Health Clinics,llc | 749 Irvine Rd, Clay City, KY 40312-9732 |
| Sandra D Mccoy | Nurse Practitioner | Mercy Health Clinics,llc | 749 Irvine Rd, Clay City, KY 40312-9732 |
| City | CLAY CITY |
| Zip Code | 40312 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLAY CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dorrita Mullins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.