Individual provider · Type 1 NPI
Kelly McCullough
Student in an Organized Health Care Education/Training Program · Brazil, IN
NPI number
1063802981
Active
Practice location
954 N County Road 250 W
Brazil, IN 47834-7495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
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.
Other student in an organized health care education/training program providers in Brazil
About NPI 1063802981
Kelly McCullough's National Provider Identifier is 1063802981, issued on Jan 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brazil, IN. The record was last updated on Jan 30, 2015.