Individual
MR. STEVEN KYLE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
63 NICOLAUS DR, HATTIESBURG, MS 39402-8113
(601) 731-0997
Mailing address
63 NICOLAUS DR, HATTIESBURG, MS 39402-8113
(601) 731-0997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3670
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00387057
—
MS
05
—
09051792
—
MS
01
—
140249
UNITED HEALTHCARE
MS
01
—
QMP000005828403
MOLINA
MS
Enumeration date
11/05/2012
Last updated
10/03/2024
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