Individual provider · Type 1 NPI

Kevan Patrick McCullum, APRN

Family Nurse Practitioner · Louisville, KY

NPI number 1114533825 Active

Practice location

908 Dupont Rd
Louisville, KY 40207-4602

Mailing address

PO Box 909
Louisville, KY 40201-0909

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3015146 (KY)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1114533825

Kevan Patrick McCullum, APRN's National Provider Identifier is 1114533825, issued on Sep 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Sep 22, 2020.