Individual
KALEIGH ANN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
786 D ST, JBER, AK 99505-4000
(803) 843-8075
Mailing address
786 D ST, JBER, AK 99505-4000
(580) 384-3807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94678
GA
Other
Enumeration date
04/20/2021
Last updated
09/19/2024
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