Individual
MIRA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 N MCLEAN BLVD, WICHITA, KS 67203-5964
(316) 618-1252
Mailing address
423 N MCLEAN BLVD, WICHITA, KS 67203-5964
(316) 618-1252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2185
KS
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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