Mullin, Kimberly A
Mullin, Kimberly A is an individual health care provider with primary practice located at 7800 W College Dr , Palos Heights IL 60463-1007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mullin, Kimberly A can be contacted via phone (708) 361-2400.Contact Information
Primary practice address
7800 W College Dr
Palos Heights IL 60463-1007
Phone: (708) 361-2400
Fax: (708) 361-1592
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036077744 | Illinois |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036077744 | Illinois |
Profile Details
NPI number | 1255384939 |
---|---|
LBN Legal business name | Mullin, Kimberly A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Dec 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255384939 | NPPES |
Illinois | MEDICAID | 036077744 |
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