KELLY RENEE MULLINS - NPI 1730862269 - Peer Specialist in Morgantown, WV

Q: What is Kelly Mullins's NPI number?

The NPI number for Kelly Mullins is 1730862269. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Q: What is Kelly Mullins's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mullins was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Renee Mullins NPPES

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

KELLY RENEE MULLINS (NPI 1730862269) is an individual peer specialist in Morgantown, West Virginia and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1730862269

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameKELLY RENEE MULLINS

Location Address206 SPRUCE STMorgantown, WV 26505-7539

Mailing Address206 Spruce StMorgantown, WV 26505-7539 · (304) 413-4300 · Fax (304) 381-6617

Phone(304) 413-4300

Fax(304) 381-6617

Sole ProprietorYes

Enumeration DateAugust 10, 2023

NPPES CertifiedAugust 10, 2023

✔ NPI 1730862269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

206 SPRUCE ST, Morgantown, WV 26505

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Other Providers at the Same Location NPPES 16

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

MR. TRAVIS TEETS PRSS

Peer Specialist