Individual provider · Type 1 NPI

Kyle Alan McCullough, MD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1043743479 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-1921

Call (860) 679-1411 Map

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XU5754 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000X81585 (CT)
Surgical Critical Care Physician 2086S0102XU5754 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043743479

Kyle Alan McCullough, MD's National Provider Identifier is 1043743479, issued on Apr 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Nov 2, 2025.