Search › Michigan › 104100000X
Kristina Mcmullen
NPI 1194636837 · on the registry since 2026 · sole proprietor
Practice
- Address
- 19473 Glenmore
Redford, MI 48240 - Phone
- (313) 610-5058
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan