Individual
DR. KEVIN PATRICK MULVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1440 E MULLAN AVE, POST FALLS, ID 83854-9064
(208) 619-4100
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
M-11925
ID
207RH0003X
Hematology & Oncology Physician
Primary
M7649
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10155152
BLUE SHIELD OF IDAHO
ID
01
—
54494
BLUE CROSS OF IDAHO
ID
05
—
805306201
—
ID
Enumeration date
11/02/2006
Last updated
07/28/2025
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