Individual
KYLE DEAN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
225 S 11TH ST STE 101, NASHVILLE, TN 37206-3131
(615) 469-1065
Mailing address
225 S 11TH ST STE 101, NASHVILLE, TN 37206-3131
(615) 469-1065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6007
MA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/07/2016
Last updated
09/29/2022
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