Individual provider · Type 1 NPI

Kaegan Marie Cullison, PA-C

Physician Assistant · Oklahoma City, OK

NPI number 1912744004 Active

Practice location

711 Stanton L Young Blvd Ste 430
Oklahoma City, OK 73104-5022

Call (405) 271-6434 Map

Fax (405) 271-6264

Other practice locations

  • 3300 NW Expressway, Oklahoma City, OK 73112-4418 · (405) 949-3349

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5295 (OK)

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 1912744004

Kaegan Marie Cullison, PA-C's National Provider Identifier is 1912744004, issued on Jul 15, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 6, 2026.