Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elisa Mulkey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619862711

Elisa Mulkey is a Student in an Organized Health Care Education/Training Program in Festus, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
Specialties on file
2

Practice location Address checks out

627 S Truman Blvd
Festus, MO 63028-2234
Phone: (636) 777-4679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2025024087 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619862711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address1002 N Taylor Ave, Crystal City, MO 63019-1210

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