Individual
KIMBERLEY MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1021 BANDANA BLVD E, SUITE 100, SAINT PAUL, MN 55108-5113
(651) 241-9700
(651) 241-3681
Mailing address
1021 BANDANA BLVD E, SUITE 100, SAINT PAUL, MN 55108-5113
(651) 241-9700
(651) 241-3681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2138
MN
Other
Enumeration date
08/04/2014
Last updated
11/10/2020
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