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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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