Provider Information for 1992185565
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. SHAMBRA MULDER PhD
Sex: Female
NPI: 1992185565
Last Updated: 2025-03-11
Certification Date: 2025-03-11
Certification Date: 2025-03-11
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992185565 | ||||||||||||||||
| Enumeration Date | 2015-06-09 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2805 JENNA RST LEXINGTON, KY 40511-8878 United States Phone: 859-229-6823 | Fax: | ||||||||||||||||
| Primary Practice Address | 1500 LEESTOWN RD STE 180 LEXINGTON, KY 40511-2045 United States Phone: 859-229-6823 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|