Individual
KATHRYN L MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4341
Mailing address
3500 BOSTON ST STE J1, BALTIMORE, MD 21224-5723
(410) 522-0001
(410) 522-0017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002127
MD
363A00000X
Physician Assistant
PA30076
DC
Other
Enumeration date
12/20/2005
Last updated
05/06/2019
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