Individual
KEVIN HENRY MULLARKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 W COLE RD, C, BIDDEFORD, ME 04005-9430
(207) 284-0176
(207) 286-8792
Mailing address
22 W COLE RD, C, BIDDEFORD, ME 04005-9430
(207) 284-0176
(207) 286-8792
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD12722
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13204000
—
ME
Enumeration date
08/30/2006
Last updated
08/13/2012
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