Individual provider · Type 1 NPI

Katelyn Grace McCullough, PA-C

Physician Assistant · Anderson, IN

NPI number 1497649529 Active

Practice location

2015 Jackson St
Anderson, IN 46016-4337

Call (765) 649-2511 Map

Mailing address

11200 Slade Ave Apt 201
Carmel, IN 46032-9083

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10004890A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497649529

Katelyn Grace McCullough, PA-C's National Provider Identifier is 1497649529, issued on Jun 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Anderson, IN. The record was last updated on Oct 7, 2025.