KENNETH H MULLEN (NPI# 1922065721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922065721 |
| Entity Type | Individual |
| Full Name | KENNETH H MULLEN |
| Credential | MD |
| Practice Address |
1901 W Kettleman Ln # 200 Lodi CA 95242-4337 |
| Mailing Address |
Po Box 241011 Lodi CA 95241-9511 |
| Practice Telephone | 2093348540 |
| Practice Fax Number | 2093682885 |
| Mailing Telephone | 2093397435 |
| Mailing Fax Number | 2093397858 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G27186 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134659527 | Kenneth James Mullen | Nurse Anesthetist, Certified Registered | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2017-06-18 |
| 1942687934 | Kenneth Mullen | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2015-04-29 |
| Street Address |
1901 W KETTLEMAN LN # 200 |
| City | LODI |
| State | CA |
| Zip Code | 95242-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175581 | Narinder Singh Dhaliwal | Internal Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2005-06-24 |
| 1013466895 | Donna Schulz | Health Educator | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2016-09-22 |
| 1831507052 | Aarti Kumar Joseph | Nurse Practitioner | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2014-07-31 |
| 1447681432 | Michelle Jaromay | Nurse Practitioner | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2013-12-02 |
| 1538422316 | Pablo R Castro | General Practice | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2012-06-18 |
| 1851577241 | Vijay Mirmira | Family Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2008-01-15 |
| 1083801484 | Simran Sethi | General Practice | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2007-09-29 |
| 1427248954 | Fareen Shabana Rahman | Internal Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2007-07-31 |
| 1184794331 | Victor Marcel Gellineau IIi | Family Medicine | 1901 W Kettleman Ln, 200, Lodi, CA 95242-4337 | 2006-11-08 |
| 1417037250 | Norman Dagobert Schmidt | Family Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588919716 | Tareq A Ali Md Apc | Family Medicine | 1520 W Kettleman Ln Ste B, Lodi, CA 95242-9290 | 2012-07-13 |
| 1609147354 | Ruby Kaur Gill | Family Medicine | 999 S Fairmont Ave Ste 235, Lodi, CA 95240-5100 | 2012-01-25 |
| 1114147212 | Frank Silvio Alvarado | Family Medicine | 830 S Ham Lane, Suite 30, Lodi, CA 95240 | 2007-04-30 |
| 1568480556 | Carina Fabiana Gonzalez | Family Medicine | 1300 W Lodi Ave Ste P, Lodi, CA 95242-3038 | 2006-07-17 |
| 1437177755 | Valerie J. Kidd | Family Medicine | 845 S Fairmont Ave Ste 8, Lodi, CA 95240-5113 | 2006-07-17 |
| 1578506952 | Harvey Hashimoto | Family Medicine | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 | 2006-06-14 |
| 1790722718 | Tareq Ali | Family Medicine | 1520 W Kettleman Ln, Suite B, Lodi, CA 95242-9290 | 2006-05-31 |
| 1497712152 | Maria Elena Saluta-ferrer | Family Medicine | 1335 S Fairmont Ave, Lodi, CA 95240-5520 | 2006-04-27 |
| 1467417576 | Rian J Podein | Family Medicine | 160 Valley Drive, Lodi, WI 53555 | 2006-04-20 |
| 1790765386 | Kimberly C Sheets | Family Medicine | 225 Elyria St, Lodi, OH 44254 | 2006-01-19 |
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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.