| Kelli Mullen Llc | |
|
2812 1st Ave N Ste 511 Billings MT 59101-2312 | |
| (406) 416-4317 | |
| (406) 797-1605 |
| Full Name | Kelli Mullen Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2812 1st Ave N Ste 511, Billings, Montana |
| Authorized Official Name and Position | Kelli Grace Mullen (OWNER) |
| Authorized Official Contact | 4064164317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Mullen Llc Po Box 1214 Billings MT 59103-1214 Ph: (406) 416-4317 | Kelli Mullen Llc 2812 1st Ave N Ste 511 Billings MT 59101-2312 Ph: (406) 416-4317 |
| NPI Number | 1740985035 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 7719344563 |
|---|---|
| Medicare Enrollment ID | O20230609000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740985035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelli Grace Mullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578228961 PECOS PAC ID: 3779974571 Enrollment ID: I20220105002853 |
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