Individual
DR. KIERSTEN P MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
439 US HWY 158 WEST, YANCEVILLE, NC 27379-1007
(336) 694-9331
Mailing address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-02336
NC
207Q00000X
Family Medicine Physician
250906
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
06/15/2022
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