MULBERRY INTERNAL MEDICINE PLLC
Osteopathic Medicine at Regency Rd, Lexington, KY

License number
Kentucky 40872
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: PENNY MULBERRY MD
Title: OWNER
Phone: (859) 275-1248
Address
Address
2425 Regency Rd SUITE B, Lexington, KY 40503
National Provider ID: 1306156369
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mulberry Internal Medicine, PLLC

Lexington, KY

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Mulberry Internal Medicine PL
Registration:
Sep 7, 2010
Phone:
(859) 275-1248 (Phone)
Addresses:
2425 Regency Rd STE B, Lexington, KY 40503 (Physical)
3405 Farmington Rd, Lexington, KY 40502
State ID:
0770631
Business type:
Kentucky Limited Liability Company
Managing Members:
Penny S Mulberry (Member, Internal Medicine, Mbr, Medical Doctor, Owner),Pixie Meredith (Organizer),Brett Mulberry (Managing Member)
Agent:
Penny Mulberry,3405 Farmington Rd, Lexington, KY 40502 (Physical)
Categories:
Physicians & Surgeons

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