Individual provider · Type 1 NPI
Keidra McCullough
Specialist · Statesville, NC
NPI number
1477499101
Active
Practice location
314 Signal Hill Dr
Statesville, NC 28625-4357
Mailing address
510 S Meeting St
Statesville, NC 28677-6108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | C89143 (NC) |
| Specialist Primary | 174400000X | CT2780 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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- Gerri J. Price, C.F.O.M., C.PED.Specialist Statesville, NC NPI 1346464096
- Joseph Durrence, C.F.O.Specialist Statesville, NC NPI 1447473194
- Dawn MauneySpecialist Statesville, NC NPI 1629438981
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About NPI 1477499101
Keidra McCullough's National Provider Identifier is 1477499101, issued on Apr 27, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Statesville, NC. The record was last updated on Apr 27, 2026.