Individual provider · Type 1 NPI

Kimberly Marie McCullough, PA-C

Physician Assistant · Galloway, NJ

NPI number 1689430258 Active

Practice location

66 W Jimmie Leeds Rd # Rs
Galloway, NJ 08205-9401

Mailing address

221 Pennant Ave
Beachwood, NJ 08722-3933

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00833200 (NJ)

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 1689430258

Kimberly Marie McCullough, PA-C's National Provider Identifier is 1689430258, issued on Feb 22, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Galloway, NJ. The record was last updated on May 21, 2025.