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

Kelly Louise Mullen

Individual provider Family Medicine Physician · NPI 1669992228

Kelly Louise Mullen is an Osteopathic Manipulative Medicine in North Manchester, Indiana. Graduated from Marian University College of Osteopathic Medicine in 2017, 9 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Trained at
Marian University College of Osteopathic Medicine
Licensed in
IN
In the registry since
2017

Practice location Address checks out

605 N Walnut St
North Manchester, IN 46962-1857
Phone: (260) 982-1994
Fax: (260) 479-2936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 — (260) 423-2675

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11019604A (IN)

Record details

NPI number1669992228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolMARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Manchester