Individual provider · Type 1 NPI
Kathleen B. McCullough, NP
Acute Care Nurse Practitioner · Rochester, NY
NPI number
1508106709
Active
Practice location
1000 South Ave
Rochester, NY 14620-2733
Fax (585) 341-8489
Mailing address
Box 679-B, 601 Elmwood Ave.
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 430654 (NY) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | F430654-1 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1508106709
Kathleen B. McCullough, NP's National Provider Identifier is 1508106709, issued on Feb 25, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Rochester, NY. The record was last updated on Jul 7, 2023.