Individual
MR. KEITH BRIAN MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
5759 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
7401 HAWKINS DR, HANOVER, MD 21076-1522
(240) 446-6936
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
20282
MS
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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