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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1124005533 |
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| LBN Legal business name | KEVIN MICHAEL MCMULLEN MD PLLC | ||||
| Authorized official | KEVIN MCMULLEN - (PRESIDENT/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/28/2005 | ||||
| Last updated | 09/19/2014 - About 12 years ago | ||||
| Identifiers |
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KEVIN MICHAEL MCMULLEN MD PLLC
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KEVIN MICHAEL MCMULLEN MD PLLC