DR. KEVIN MCMULLEN (NPI# 1225442247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225442247 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MCMULLEN |
| Credential | M.D. |
| Practice Address |
80 Amsden St Arlington MA 02474-5502 |
| Practice Telephone | 6177754434 |
| Mailing Telephone | 6177754434 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 260111 | MA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388365 | Kevin Michael Mcmullen | Surgery | 11011 Hefner Pointe Dr, Ste A, Oklahoma City, OK 73120-5005 | 2005-12-28 |
| 1093797045 | Kevin P Mcmullen | Radiology | 2400 17th St, Columbus, IN 47201-5351 | 2005-11-16 |
| Street Address |
80 AMSDEN ST |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02474-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427531896 | Carole Caruso | Social Worker | 7 Victoria Rd, Arlington, MA 02474 | 2018-09-12 |
| 1336657915 | Michelle Fournier | Counselor | 406 Massachusetts Avenue, Arlington, MA 02474 | 2018-01-17 |
| 1487183844 | Paula Lambertson | Occupational Therapist | 49 Marathon St, Arlington, MA 02474 | 2017-06-08 |
| 1417486804 | Caitlin Lauria | Behavior Technician | 385 Massachusetts Ave Apt #66, Arlington, MA 02474 | 2017-06-08 |
| 1477093003 | Nicole Sinopoli Fein | Social Worker | 226 Massachusettes Ave, Arlington, MA 02474 | 2017-03-01 |
| 1114384955 | Basheila Purdie | Social Worker | 339 Massachusettes Avenue, Arlington, MA 02474 | 2016-01-25 |
| 1760889158 | Justin Martinez | Occupational Therapist | 7 Huntington Rd, Arlington, MA 02474 | 2014-12-01 |
| 1194120972 | Ann Murray | Massage Therapist | 9 Chestnut Street, Arlington, MA 02474 | 2014-10-23 |
| 1437573417 | Elizabeth Noel Kehrli | Physical Therapist | 1 Symmes Road, Arlington, MA 02474 | 2014-02-11 |
| 1568738292 | Ellenhorn LLC | Psychiatry & Neurology | 406 Masschusetts Avenue, Arlington, MA 02474 | 2012-03-27 |
| Find all providers in zip 02474 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1316551906 | Tiny Tots | Student in an Organized Health Care Education/Training Program | 216 Kenosha Ln, Arlington, TX 76002-5433 | 2020-09-01 |
| 1528686011 | Samantha Mendoza | Student in an Organized Health Care Education/Training Program | 715 Valley Vista Rd Apt 2020, Arlington, TX 76006-2121 | 2020-07-10 |
| 1093331860 | Lucy Cao Nguyen | Student in an Organized Health Care Education/Training Program | 2308 Point Star Dr, Arlington, TX 76001-5806 | 2020-06-17 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1043834633 | Hannah Bacon | Student in an Organized Health Care Education/Training Program | 850 N Randolph St Apt 313, Arlington, VA 22203-4004 | 2020-05-30 |
| 1902426083 | Britany Leeann Reierson | Student in an Organized Health Care Education/Training Program | 303 7th Ave Nw, Arlington, MN 55307-9544 | 2020-04-20 |
| 1235758327 | Bradley Cundiff | Student in an Organized Health Care Education/Training Program | 2000 N Adams St Apt 301, Arlington, VA 22201-3721 | 2020-04-09 |
| 1710513759 | Krishna Patel | Student in an Organized Health Care Education/Training Program | 4014 Shady Forge Trl, Arlington, TX 76005-4543 | 2020-03-22 |
| 1255962700 | Dunya Mounir Imad | Student in an Organized Health Care Education/Training Program | 1910 Columbia Pike, Arlington, VA 22204-4628 | 2020-02-03 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.