Individual
KRISTIE LYNN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
222 MEDICAL CIRCLE, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6570
Mailing address
PO BOX 968, MOREHEAD, KY 40351-0968
(866) 413-9534
(260) 407-4428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100719590
—
KY
Enumeration date
10/01/2020
Last updated
10/15/2021
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