Individual
KEVIN MULLINS
Active
Individual
KEVIN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1903771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01924574
—
NY
01
—
P00077933
MEDICARE RR
NY
Enumeration date
01/25/2006
Last updated
09/28/2023
Update your record
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