Individual
KYLE PATRICK MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-2825
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(614) 293-9215
(614) 293-7292
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
304951
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/16/2012
Last updated
07/21/2022
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