Mullen, Kelly Veronica

Mullen, Kelly Veronica is an sole proprietor health care provider with primary practice located at 121 Pulaski Rd , Kings Park NY 11754-2539. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mullen, Kelly Veronica can be contacted via phone (631) 678-8470.

Contact Information

Primary practice address
121 Pulaski Rd Kings Park NY 11754-2539
Phone: (631) 678-8470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F306187 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 306187 New York

Profile Details

NPI number 1487018206
LBN Legal business name Mullen, Kelly Veronica
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2016
Last updated Dec 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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