Kawana Kesia Mullins, PP

Primary specialty

ContractorTaxonomy code 171W00000X

License

053726831 Issued in GA

Practice address

1103 S Davis St
Albany, GA 31701

Phone

(229) 894-9740

NPI assigned

Feb 19, 2018

Last updated

Feb 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1346740131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S DAVIS ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-894-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S DAVIS ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-894-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KAWANA",
        "middle_name": "KESIA",
        "credential": "PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "053726831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mrs Homecare, Inc. (Mrs of Albany)
• MSK Home Care Solutions, LLC
• Mt. Zion Community Reinvestment Corporation (Samaritan Clinic)
• Julie A Muliford, NP
• Denicia Jackson Mulkey
• Sanjay Munireddy, MD
• Alicia Wiggins Murphy, LCSW
• Kelley Dejuan Murphy, CNA
• Matisse Monta Murphy, PHARMD
• Cathy Adell Murray

• Contractor in Albany, GA
• Providers in Albany, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.