MS. KELLY VERONICA MULLEN N.P.
NPI 1487018206
Nurse Practitioner - Primary Care in Kings Park, NY

Active since April 07, 2016
121 PULASKI RD, KINGS PARK, NY 11754(631) 678-8470 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly Veronica Mullen N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY VERONICA MULLEN N.P. (NPI 1487018206) is an individual primary care provider in Kings Park, New York, licensed in New York (306187) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1487018206
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. KELLY VERONICA MULLENCredential: N.P.
Location Address121 PULASKI RDKings Park, NY 11754-2539
Mailing Address39 Soundview DrNorthport, NY 11768-1446 · (631) 678-8470
Sole ProprietorYes
Enumeration DateApril 7, 2016
Last NPPES UpdateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
NPI 1487018206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NY · 306187
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F306187 (NY)
121 PULASKI RD, Kings Park, NY 11754

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
121 PULASKI RD
KINGS PARK, NY 11754
Massage Therapist
121 PULASKI RD
KINGS PARK, NY 11754
Acupuncturist
121 PULASKI RD
KINGS PARK, NY 11754
Acupuncturist
121 PULASKI RD
KINGS PARK, NY 11754
Massage Therapist
121 PULASKI RD
KINGS PARK, NY 11754
Massage Therapist
121 PULASKI RD
KINGS PARK, NY 11754
Massage Therapist
121 PULASKI RD
KINGS PARK, NY 11754
Massage Therapist
121 PULASKI RD
KINGS PARK, NY 11754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mullen's NPI number?

The NPI number for Kelly Mullen is 1487018206. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Kelly Mullen located?

Kelly Mullen practices at 121 Pulaski Rd, Kings Park, NY 11754. The listed phone number is (631) 678-8470.

What is Kelly Mullen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kelly Mullen was last updated on December 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.