Whalio Doctors

NPI 1013154426

Kathleen Marie McCullough

Practitioner Licensed Practical Nurse Fort Campbell, KY

Practice location

Address
650 Joel Dr, Fort Campbell, KY 42223-5318
Phone
(270) 798-8521
Mailing address
650 Joel Drive, Fort Campbell, KY 42223

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 0000027229 (TN)

Registry record

NPI
1013154426
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jan 2009
Record last updated
8 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.