Individual
KENNETH JAMES MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 634-6638
(252) 464-4594
Mailing address
4104 KITTRELL FARMS DR APT 5, GREENVILLE, NC 27858-9514
(336) 534-7266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116884
NC
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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