NPI 1225442247

Kevin McMullen, MD

Practitioner Dermatology Physician Missoula, MT

Practice location

Address: 1821 South Ave W STE 402, Missoula, MT 59801-6518
Phone: (406) 543-8512
Fax: (406) 541-8513
Mailing address: 801 York S T, Manitowoc, WI 54220-4630

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A142278 (CA)

Other Dermatology providers in Montana →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 260111 (MA)

Other Student in an Organized Health Care Education/Training Program providers in Montana →

Registry record

NPI: 1225442247
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2014
Record last updated: 25 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.