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
Fax: (708) 361-1592
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255384939 NPPES
Illinois MEDICAID 036077744

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