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

Kenneth H Mullen, MD

Individual provider Family Medicine Physician · NPI 1922065721

Kenneth H Mullen, MD is a Family Practice in Lodi, California. Graduated from Tulane University School of Medicine in 1973, 53 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
53
Trained at
Tulane University School of Medicine
Licensed in
CA
In the registry since
2006
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

1901 W Kettleman Ln # 200
Lodi, CA 95242-4337
Phone: (209) 334-8540
Fax: (209) 368-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G27186 (CA)

Record details

NPI number1922065721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESFebruary 14, 2012
Mailing addressPo Box 241011, Lodi, CA 95241-9511

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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