Individual provider · Type 1 NPI

Kathleen Marie McCullough

Licensed Practical Nurse · Fort Campbell, KY

NPI number 1013154426 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8521 Map

Mailing address

650 Joel Drive
Fort Campbell, KY 42223

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0000027229 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013154426

Kathleen Marie McCullough's National Provider Identifier is 1013154426, issued on Jan 8, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jan 8, 2009.