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

Miss. Kelly Mullin, PA-C

Individual provider Physician Assistant · NPI 1467878264

Miss. Kelly Mullin, PA-C is a Physician Assistant in Santa Monica, California. Licensed in California and Nebraska. Registered with an NPI since 2014.

Licensed in
CA, NE
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 829-8212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57514 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 1811 (NE)

Record details

NPI number1467878264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2014
Last updated in NPPESJuly 31, 2021
Certification dateJuly 31, 2021

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