Individual
KEVIN MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9330 LOOKOUT PT APT 410, DALLAS, TX 75231-4758
(469) 452-4311
Mailing address
9330 LOOKOUT PT APT 410, DALLAS, TX 75231-4758
(469) 452-4311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
08/19/2024
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