NPI 1306561212
Karin Johana Bock Mullooly
Practice location
- Address
- 1090 Hay Row Rd, Lake Wylie, SC 29710-9629
- Phone
- (516) 316-9959
- Mailing address
- 168 Highway 274 # 134, Lake Wylie, SC 29710-6045
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1306561212
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Oct 2022
- Record last updated
- 4 Oct 2022
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.