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Contact Information

KEITH B MULL, SA
5759 CEDAR LN
COLUMBIA, MD21044-2912
 Phone: 410-740-7890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for KEITH B MULL · (Male)

NPI Number 1427342187
Status Active
Credentials SA
Entity Individual
Enumeration date 05/30/2011
Last updated 05/30/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 20282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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