Individual
MR. KEVIN JOSEPH MULVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 RIVER RD, SUITE 102, EUGENE, OR 97404-5414
(541) 683-6187
(541) 689-4525
Mailing address
2401 RIVER RD, SUITE 102, EUGENE, OR 97404-5414
(541) 683-6187
(541) 689-4525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2379
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2379
PT LICENSE
OR
Enumeration date
12/17/2008
Last updated
12/17/2008
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