Mauldin, Kevin Dewayne
Mauldin, Kevin Dewayne is an individual health care provider with primary practice located at 5198 Old Highway 11 , Hattiesburg MS 39402-6222. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mauldin, Kevin Dewayne can be contacted via phone (601) 264-7232.Contact Information
Primary practice address
5198 Old Highway 11
Hattiesburg MS 39402-6222
Phone: (601) 264-7232
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT0264 | Mississippi |
Profile Details
NPI number | 1730226176 |
---|---|
LBN Legal business name | Mauldin, Kevin Dewayne |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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