| NPI | 1144309253 |
|---|---|
| Doing Business As | KEVIN P. MULVEY |
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK MULVEY Owner 651-414-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-10 |