Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN L MCMULLAN, M.D.
Active Sole ProprietorKATHRYN L MCMULLAN, M.D. is a Allergy healthcare provider located in EAGLE, Idaho. NPI 1538108089 is currently active in the NPPES registry. Verify at CMS.
Allergy · EAGLE, ID
Registration Details
- NPI Number
- 1538108089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2006 (20.187257624339 yrs)
- Last Updated
- Jan 20, 2010
- License
-
M8497 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 E RIVERSIDE DRSTE 234EAGLE, ID, 836166864Browse ID providers · Browse ZIP 83616
- Phone
- 2089384080
- Fax
- 2089388922
- Primary Specialty
-
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.