Cullen, Kathleen
Cullen, Kathleen is an individual health care provider with primary practice located at 21202 Olean Blvd C1, Port Charlotte FL 33952-6751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cullen, Kathleen can be contacted via phone (941) 391-5495.Contact Information
Primary practice address
21202 Olean Blvd C1
Port Charlotte FL 33952-6751
Phone: (941) 391-5495
Fax: (941) 875-9875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0002743 | Florida |
Profile Details
| NPI number | 1588676985 |
|---|---|
| LBN Legal business name | Cullen, Kathleen |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | May 19th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588676985 | NPPES |
| Florida | Other | E1089S | MEDICARE PTAN |
| Florida | Other | E1089T | MEDICARE PTAN |
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