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Individual

KEVIN JON MULVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
204 N 2ND AVE W, NEWTON, IA 50208-3032
(641) 792-6446
(641) 792-3556
Mailing address
204 N 2ND AVE W, NEWTON, IA 50208-3032
(641) 792-6446
(641) 792-3556

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00607
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396716221
IA
01
41080
WELLMARK BCBS
01
41490
WELLMARK BCBS
01
42144062501
JOHN DEERE HEALTH CARE
01
42144062504
JOHN DEERE HEALTH CARE
01
480025449
RR MEDICARE
IA
01
480026192
RR MEDICARE
IA
Enumeration date
01/30/2006
Last updated
07/24/2008
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