Individual
MRS. KELLY MARIE MULLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2931 ALTERNATE 19, PALM HARBOR, FL 34683-1928
(727) 785-2298
(813) 635-7944
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-0002
(813) 635-2639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109308
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9109308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108346500
—
FL
Enumeration date
01/19/2016
Last updated
04/15/2026
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