Individual
KELLY MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 INDEPENDENCE ST, WHITE PLAINS, NY 10606-1613
(914) 946-9559
(914) 946-9538
Mailing address
155 BROAD AVE, PALISADES, NY 10964-1328
(845) 825-9531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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