Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylie Mullin

Individual provider Family Nurse Practitioner · NPI 1104775337

Kylie Mullin is a Nurse Practitioner in Baker, West Virginia. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
1
Licensed in
WV
In the registry since
2026

Practice location Address checks out

17978 State Road 55
Baker, WV 26801-8626
Phone: (304) 897-5915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 113250 (WV)

Record details

NPI number1104775337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 21, 2026
Mailing address17978 State Road 55, Baker, WV 26801-8626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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