Organization
KEVIN MICHAEL MCMULLEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL MCMULLEN MD (PRESIDENT/OWNER)
(405) 749-8346
Entity
Organization
Contact information
Practice address
11011 HEFNER POINTE DR, SUITE A, OKLAHOMA CITY, OK 73120-5005
(405) 749-8346
(405) 749-8349
Mailing address
PO BOX 26525, SECTION 47, OKLAHOMA CITY, OK 73126-0525
(405) 749-8346
(405) 749-8349
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
17646
OK
Other
Enumeration date
12/28/2005
Last updated
09/19/2014
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