Individual
JASON WESLEY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4004 LOUISA ROAD, CATLETTSBURG, KY 41129-1091
(606) 739-6095
(606) 739-8252
Mailing address
P. O. BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2046
KY
Other
Enumeration date
10/09/2015
Last updated
02/11/2020
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