National Provider Identifier Database

KEVIN P MCMULLEN, MD – NPI #1093797045
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Contact Information

KEVIN P MCMULLEN, MD
557 BROOKDALE DR
STATESVILLE, NC  28677-4107
Phone: 704-878-4615
Fax: 704-878-7193
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for KEVIN P MCMULLEN

NPI Number 1093797045
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 12/11/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • NC License #: 9900941
  • IN Medicaid: 201037980
  • NC Medicaid: 891333U
  • SC Medicaid: Q0094C
  • VA Medicaid: 10001251
  • WV Medicaid: 2004948000
  • Other: 7957688 AETNA
  • IN Other: 000000746372 ANTHEM
  • IN Other: 000000990588 ANTHEM PIN
  • IN Other: P01420734 RAILROAD MEDICARE
  • NC Other: 1333U BCBS
  • NC Other: C6010 MEDCOST
  • NC Other: 802872 PARTNERS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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