Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin McMullen, MD

Individual provider Dermatology Physician · NPI 1225442247

Dr. Kevin McMullen, MD is a Dermatology in Missoula, Montana. Graduated from University of Massachusetts Medical School in 2014, 12 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
12
Trained at
University of Massachusetts Medical School
Licensed in
CA, MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1821 S Ave W Ste 402
Missoula, MT 59801-6518
Phone: (406) 543-8512
Fax: (406) 541-8513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Daniel Burnham Ct Ste 305c, San Francisco, CA 94109-0466 — (415) 771-6300
  • 80 Amsden St, Arlington, MA 02474-5502 — (617) 775-4434
  • 2875 Tina Ave Ste 104, Missoula, MT 59808-1582 — (406) 613-7676

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A142278 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 260111 (MA)

Record details

NPI number1225442247
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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