Mullen, Kerry

Mullen, Kerry is an individual health care provider with primary practice located at 475 Osceola St Suite 1100, Altamonte Springs FL 32701-7857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mullen, Kerry can be contacted via phone (407) 831-6200.

Contact Information

Primary practice address
475 Osceola St Suite 1100 Altamonte Springs FL 32701-7857
Phone: (407) 831-6200
Fax: (407) 831-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN2521862 Florida

Profile Details

NPI number 1104941483
LBN Legal business name Mullen, Kerry
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Feb 2nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104941483 NPPES
Florida MEDICAID 001390400

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