KEVIN MICHAEL MCMULLEN MD PLLC NPI 1124005533

NPI Information

NPI: 1124005533
Provider Name: KEVIN MICHAEL MCMULLEN MD PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
11011 HEFNER POINTE DR
SUITE A
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 749-8346
Get Directions

KEVIN MICHAEL MCMULLEN MD PLLC is a vascular surgery surgery in Oklahoma City, OK. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. KEVIN MICHAEL MCMULLEN MD PLLC NPI is 1124005533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11011 HEFNER POINTE DR
SUITE A
OKLAHOMA CITY, OK
ZIP 73120-005
Phone: (405) 749-8346
Fax: (405) 749-8349

The provider's authorized official is Kevin Michael Mcmullen .
The authorized official title is President/owner and has the following contact phone number (405) 749-8346.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 9/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	17646	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DA7559	MEDICARE PIN
2	100522049	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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