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Individual
DR. JOHANNA LYNN MCCULLAGH
Active
Individual
DR. JOHANNA LYNN MCCULLAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0431432
KS
207RN0300X
Nephrology Physician
Primary
04-31432
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-31432
KSLICENSE
KS
Enumeration date
01/31/2007
Last updated
03/09/2016
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