Kevin Michael McMullen MD PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

17646 Issued in OK

Legal business name

KEVIN MICHAEL MCMULLEN MD PLLC

Practice address

11011 Hefner Pointe Dr
Suite a
Oklahoma City, OK 73120-5005

Phone

(405) 749-8346

Fax

(405) 749-8349

NPI assigned

Dec 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Michael McMullen, MD

Title

President/Owner

Phone

(405) 749-8346

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1124005533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26525",
            "address_2": "SECTION 47",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260525",
            "telephone_number": "405-749-8346",
            "fax_number": "405-749-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 HEFNER POINTE DR",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205005",
            "telephone_number": "405-749-8346",
            "fax_number": "405-749-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MICHAEL MCMULLEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "405-749-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "17646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rameshwarnaik Kethavath, MD
• Regina M Ketts, APRN-CNS
• Mark Andrew Keuchel, D.O.
• Kevin Dunn MPT, LLC
• Kevin L Wood, MD, Inc
• Kevin S. Jones, Inc.
• Key Health Institute of Edmond, LLC
• Andrea L Key, MD
• Christina Renata Key, APRN, NP-C
• Nicholas Isaac Key

• Vascular Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Vascular Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.