Kathleen Anne Mulryan
Developmental Therapist in Salem, IN. Individual provider (NPI-1).
NPI number1295520146
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1295520146
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Anne Mulryan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2025
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
6105 E State Road 160Salem, IN 47167-7883
Phone 865-278-6986
Mailing address
6105 E State Road 160Salem, IN 47167-7883
Phone 865-278-6986
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