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

Kevin Patrick McMullen, MD

Individual provider Radiation Oncology Physician · NPI 1093797045

Kevin Patrick McMullen, MD is a Radiation Oncology in Statesville, North Carolina. Graduated from Mayo Medical School in 1994, 32 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
32
Trained at
Mayo Medical School
Licensed in
NC
In the registry since
2005
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

557 Brookdale Dr
Statesville, NC 28677-4107
Phone: (704) 878-4615
Fax: (704) 878-7193
Show map & directions

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

Additional practice locations (2)

  • 550 University Blvd, Indianapolis, IN 46202-5149 — (317) 944-2524
  • Medical Center Blvd, Winston Salem, NC 27157-5149 — (336) 716-3600

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 9900941 (NC)

Record details

NPI number1093797045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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