| Kimberly K Mulholland, ARNP | |
|
1705 16th Ave, Fulton, IL 61252-9708 | |
| (815) 589-2121 | |
| (815) 589-4468 |
| Full Name | Kimberly K Mulholland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 1705 16th Ave, Fulton, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730131160 | NPI | - | NPPES |
| 09822109 | Other | IL | BC/BS |
| 152962 | Other | IOWA HEALTH SOLUTIONS | |
| IA0190 | Other | JOHN DEERE HEALTH | |
| 058573 | Other | HEALTH ALLIANCE | |
| 19346 | Other | MIDLANDS CHOICE | |
| 28956 | Other | IA | WELLMARK BC/BS |
| 1441170 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A-088981 (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 041-300155 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Specialty Clinic | 3375639586 | 53 |
| Entity Name | Mercy Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832764 PECOS PAC ID: 3375639586 Enrollment ID: O20071019000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly K Mulholland, ARNP 915 13th Ave N, Clinton, IA 52732-5067 Ph: (563) 243-2511 | Kimberly K Mulholland, ARNP 1705 16th Ave, Fulton, IL 61252-9708 Ph: (815) 589-2121 |
Lynne M Coffey, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 17th St Ste B, Fulton, IL 61252 Phone: 815-589-2005 Fax: 815-632-5975 | |
Adrianna Vanduyne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1705 16th Ave, Fulton, IL 61252 Phone: 563-243-2511 | |
Stephanie G Holesinger, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1705 16th Ave, Fulton, IL 61252 Phone: 815-589-2121 Fax: 815-589-4468 | |
Dr. Tom M Kao, D.C., APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 4th St, Fulton, IL 61252 Phone: 815-589-4616 |