Doctor Name: | DR. KEVIN PATRICK MULVEY |
NPI Number: | 1215015490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | M7649 |
Business Practice Address: | 1440 E Mullan Ave Post Falls, ID - 838549064 |
Business Phone Number: | 2086194100 |
Business Fax Number: | |
Mailing Address: | 2003 Kootenai Health Way, COEUR D ALENE |
State: | ID |
Postal Code: | 838146051 |
Phone Number: | 2086254000 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | M7649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |