P Praxis·MD
● Active Type 1 · Individual

Kathryn L McMullan, M.D.

Allergy & Immunology·Eagle, ID· NPI 1538108089 · Enumerated 2006 · 19 years on NPI
McMullan is 1 of 2 allergy & immunology providers in Eagle and 1 of 10 in Idaho.
NPI age
19 years
Enumerated 2006-06-06
Primary specialty
Allergy & Immunology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-01-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 10 active allergy & immunology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
323 E Riverside Dr, Ste 234
Eagle, ID 836166864
📞 2089384080fax 2089388922
Mailing address
323 E Riverside Dr, Ste 234
Eagle, ID 836166864
📞 2089384080fax 2089388922

Specialties

  • Allergy & Immunology Primary
    A physician who specializes in the diagnosis, treatment, and management of allergies.
    ID license #M8497 taxonomy 207KA0200X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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