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Kevin Mauldin, ATC
NPI 1730226176 · on the registry since 2007
Practice
- Address
- 5198 Old Highway 11
Hattiesburg, MS 39402 - Phone
- (601) 264-7232
- Organisation at this address
- Oak Grove High School
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Mississippi