NPI 1043055957

Charles Allen-Wayne Mulkey, STUDENT

Practitioner Student in an Organized Health Care Education/Training Program Saint Joseph, MO

Practice location

Address: 302 N 3rd St APT 513, Saint Joseph, MO 64501-1856
Phone: (816) 898-4633

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043055957
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2024
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.