NPI 1427342187

Keith Brian Mull, SA

Practitioner Surgical Assistant Columbia, MD

Practice location

Address: 5759 Cedar Ln, Columbia, MD 21044-2912
Phone: (410) 740-7890
Mailing address: 7401 Hawkins Dr, Hanover, MD 21076-1522

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Maryland →

Surgical Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 20282 (MS)

Registry record

NPI: 1427342187
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2011
Record last updated: 30 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.