- Practice location
- 1821 South Ave W Ste 402, Missoula, MT 59801-6518
- Phone
- 406-543-8512
- Fax
- 406-541-8513
- Last updated
- October 25, 2023
Kevin Mcmullen is a Dermatology based in Missoula, MT. Kevin Mcmullen practices in Missoula, MT and has the professional credentials of MD. The NPI Number for Kevin Mcmullen is 1225442247 and holds a License No. A142278 (CA). The current practice location address for Kevin Mcmullen is 1821 South Ave W Ste 402, Missoula, MT 59801-6518 and can be reached out via phone at 406-543-8512 and via fax at 406-541-8513.
Provider Profile Details
- NPI Number
- 1225442247
- Provider Name
- Kevin Mcmullen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1821 South Ave W Ste 402, Missoula, MT 59801-6518
- Phone Number
- 406-543-8512
- Fax Number
- 406-541-8513
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2014
- Last Update Date
- October 25, 2023
- Certification Date
- October 25, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1821 South Ave W Ste 402
Missoula, MT 59801-6518 - City
- Missoula
- State
- Montana
- Zip
- 59801-6518
- Phone Number
- 406-543-8512
- Fax Number
- 406-541-8513
Provider Business Mailing Address Details
- Address
- 801 York S T
Manitowoc, WI 54220-4630 - City
- Manitowoc
- State
- WI
- Zip
- 54220-4630
- Phone Number
- 206-639-0089
- Fax Number
- 920-684-1439
License Information
- License Number (1)
- A142278
- License State (1)
- CA
- Taxonomy (1)
- Dermatology · 207N00000X · Primary
- License Number (2)
- 260111
- License State (2)
- MA
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Missoula, MT
View all Dermatology providers in Missoula →- Dr. Nora H Abdullah, MDPsychiatry & Neurology, Psychiatry · NPI 1295354298
- Dr. Puneet V Bansal, MDInternal Medicine, Cardiovascular Disease · NPI 1417230855
- Eleanor Health Professional Tx, PLLCPsychiatry & Neurology, Addiction Psychiatry · NPI 1164214235
- Dr. Travis O Abicht, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1033239835
- Lee T EricksonPhysician Assistant · NPI 1437810736
- Blair DavisonPsychiatry & Neurology, Psychiatry · NPI 1881812378
Frequently Asked Questions
What is the NPI number of Dr. Kevin Mcmullen, MD?
The NPI number of Dr. Kevin Mcmullen, MD is 1225442247. It was assigned on June 18, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Kevin Mcmullen, MD?
Dr. Kevin Mcmullen, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CA under license number A142278.
Where does Dr. Kevin Mcmullen, MD practice?
The practice location is 1821 South Ave W Ste 402, Missoula, MT 59801-6518. The office can be reached at 406-543-8512 (phone) or 406-541-8513 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225442247 directly on the NPPES registry website.