Individual
KIMBERLY K MULHOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1705 16TH AVE, FULTON, IL 61252-9708
(815) 589-2121
(815) 589-4468
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041-300155
IL
363LF0000X
Family Nurse Practitioner
A-088981
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058573
HEALTH ALLIANCE
—
01
—
09822109
BC/BS
IL
05
—
1441170
—
IA
01
—
152962
IOWA HEALTH SOLUTIONS
—
01
—
19346
MIDLANDS CHOICE
—
01
—
28956
WELLMARK BC/BS
IA
01
—
IA0190
JOHN DEERE HEALTH
—
Enumeration date
05/16/2006
Last updated
03/15/2013
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