Individual provider · Type 1 NPI

Kelly McCullough, ARNP

Nurse Practitioner · Port Richey, FL

NPI number 1285627273 Active

Practice location

6709 Ridge Rd Ste 302
Port Richey, FL 34668-6867

Fax (877) 487-5705

Mailing address

6709 Ridge Rd
Port Richey, FL 34668-6834

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP2752232 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1285627273

Kelly McCullough, ARNP's National Provider Identifier is 1285627273, issued on Aug 25, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Richey, FL. The record was last updated on Sep 8, 2026.