Individual
MS. KIA MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4924 WINDY HILL DR STE B, RALEIGH, NC 27609-4930
(919) 593-3963
Mailing address
PO BOX 97605, RALEIGH, NC 27624-7605
(919) 593-3963
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
337008
NC
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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