Marty Mullins, PA

NPI #1699778795 in Hazard, Kentucky

Provider Information

NPI Number: 1699778795
Entity Type: Individual
Name: Marty Mullins, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 23, 2005
Last Updated: May 13, 2021

Practice Location

Address: 210 BLACK GOLD BLVD STE 106
City: Hazard
State: Kentucky
ZIP Code: 41701-2620
Phone: (606) 436-0711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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