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Kylie Mullin

Nurse Practitioner, Family in Baker, WV. Individual provider (NPI-1).

NPI number1104775337
StatusActive
Last updated in NPPESJan 22, 2026

Details

NPI
1104775337
Entity type
Individual (NPI-1)
Name
Kylie Mullin
Sex
Female
Sole proprietor
No
Enumeration date
Jan 22, 2026
Certification date
Jan 21, 2026
Last updated
Jan 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family113250WVYes

Practice location

17978 State Road 55
Baker, WV 26801-8626

Phone 304-897-5915

Mailing address

17978 State Road 55
Baker, WV 26801-8626

Phone 304-897-5915

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