# KELLY S MUELLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558074013
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | C0009203 | MD | — |
| 363A00000X | Physician Assistant | PA9116874 | FL | Yes |

## Other

- **Enumeration date:** 12/29/2022
- **Last updated:** 09/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 687074100 | — | MD |
| 01 | — | C0009203 | MARYLAND BOARD OF PHYSICIANS | MD |