Individual
DR. KEVIN PAUL MULLIGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
101 BODIN CIR, DAVID GRANT MEDICAL CENTER, TRAVIS AFB, CA 94535-1809
(707) 423-5174
Mailing address
620 EMERALD HILLS CIR, FAIRFIELD, CA 94533-9782
(707) 423-5174
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
507
AL
Other
Enumeration date
09/28/2005
Last updated
07/08/2007
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