Individual
DR. JOHN SIMEON MULLIGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 E PARRISH AVE, BUILDING D, OWENSBORO, KY 42303-1449
(270) 926-8171
(270) 926-4574
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25712
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000080
—
IN
05
—
64257124
—
KY
05
—
6425712400
—
KY
Enumeration date
07/14/2005
Last updated
05/14/2026
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