Individual
MRS. MIRANDA MARIE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065-1660
(502) 647-4000
Mailing address
2210 WADSWORTH AVE, LOUISVILLE, KY 40205-3062
(314) 578-1020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004117A
IN
363A00000X
Physician Assistant
Primary
TC132
KY
Other
Enumeration date
08/17/2023
Last updated
06/05/2025
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