Individual
SEAN THOMAS MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2904 PETTY JAY RD, LOUISVILLE, KY 40220-2862
(502) 718-7260
Mailing address
2904 PETTY JAY RD, LOUISVILLE, KY 40220-2862
(502) 718-7260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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