Mullins, Marty

Mullins, Marty is an individual health care provider with primary practice located at 210 Black Gold Blvd Ste 106 , Hazard KY 41701-2620. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mullins, Marty can be contacted via phone (606) 436-0711.

Contact Information

Primary practice address
210 Black Gold Blvd Ste 106 Hazard KY 41701-2620
Phone: (606) 436-0711
Fax: (606) 436-0848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA027 Kentucky

Profile Details

NPI number 1699778795
LBN Legal business name Mullins, Marty
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699778795 NPPES
Kentucky MEDICAID 95000337

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