Female

Kayla Mullen PA-C

Physician Assistant in Centerville, OH(View on Map)

Full Name

Kayla Mullen PA-C

NPI Number

1235681636

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/01/2016

Specialties

(Taxonomies)

Code

363A00000X
2255A2300X

Primary Taxonomy

Yes
No

Licenses

State

Ohio

License Number

50.008048RX

Contact
Information

Purpose

Mailing
Location

Address

1975 MIAMISBURG CENTERVILLE RD
1975 MIAMISBURG CENTERVILLE RD

City

Centerville
Centerville

State

OH
OH

Postal Code

45459-3811
45459-3811

Country

US
US

Telephone Number

(937) 439-6186
(937) 439-6186

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

kmullen706373@direct.ketteringhealth.org
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

8701 Old Troy Pike Ste 210Huber Heights, OH454241188US
8701 Old Troy Pike Ste 210Huber Heights, OH454241188US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/07/2024

Provider Address

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