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NPI Code Detail

MEDICARE: KATHY MULLINS BA

MEDICARE: KATHY MULLINS BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorWV

General Provider Information

NPI Number : 1346176807
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY MULLINS BA
Provider Business Mailing Address
First Line : 99 CRACKER BARREL DR STE 100
Second Line :
City : BARBOURSVILLE
State : WV
Zip : 25504-1650
Country : US
Telephone Number : 304-525-7851
Fax Number : 304-525-2040
Provider Business Practice Location Address
First Line : 55 DONOHOE DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-8887
Country : US
Telephone Number : 304-525-7851
Fax Number : 304-525-1073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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