Individual
KELLY MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CHEYNEY RD, GLEN MILLS, PA 19342-1805
(610) 361-3306
Mailing address
500 CHEYNEY RD, THORNTON, PA 19373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002260
PA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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