Individual provider · Type 1 NPI

Kory McCullah, PA-C

Physician Assistant · Fort Drum, NY

NPI number 1902598568 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Call (315) 774-2359 Map

Mailing address

5187 State Highway 56
Colton, NY 13625-7785

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1902598568

Kory McCullah, PA-C's National Provider Identifier is 1902598568, issued on May 23, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jun 9, 2026.