Mccullough, Kathleen Marie

Mccullough, Kathleen Marie is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mccullough, Kathleen Marie can be contacted via phone (270) 798-8521.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0000027229 Tennessee

Profile Details

NPI number 1013154426
LBN Legal business name Mccullough, Kathleen Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2009
Last updated Jan 8th, 2009 - about 17 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.

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