Mulligan, Kimberly A

Mulligan, Kimberly A is an individual health care provider with primary practice located at 3601 S 6Th Ave , Tucson AZ 85723-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Mulligan, Kimberly A can be contacted via phone (520) 792-1450.

Contact Information

Primary practice address
3601 S 6Th Ave Tucson AZ 85723-0001
Phone: (520) 792-1450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29584 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29584 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 29584 Arizona

Profile Details

NPI number 1225094857
LBN Legal business name Mulligan, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jul 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225094857 NPPES
Arizona MEDICAID 710831

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