Individual
MS. KRISTINA L. MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2320 FREEWAY DRIVE, MOUNT VERNON, WA 98273
(360) 814-6100
(360) 814-6110
Mailing address
1400 E KINCAID ST, C/O CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004818
WA
Other
Enumeration date
10/02/2006
Last updated
07/01/2014
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