MEDICARE: KIMBERLY MULLEN DC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111NP0017X	Pediatric Chiropractor
2	111NS0005X	Sports Physician Chiropractor
3	2251S0007X	Sports Physical Therapist
4	2251P0200X	Pediatric Physical Therapist
5	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1518383207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMBERLY MULLEN DC PLLC

Provider Business Mailing Address
First Line	:	3310 W BRAKER LN BLDG 2-300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-7854
Country	:	US
Telephone Number	:	512-266-1000
Fax Number	:	512-597-0898

Provider Business Practice Location Address
First Line	:	9800 N LAKE CREEK PKWY STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6072
Country	:	US
Telephone Number	:	512-266-1000
Fax Number	:	512-597-0898

Authorized Official
Title or Position	:	CEO
Name	:	DR. KIMBERLY DAVIS
Credential	:	DC
Telephone Number	:	512-266-1000

Provider Enumeration Date	:	03/05/2014
Last Update Date	:	06/20/2026

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