Individual
KATHRYN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2454 HWY 6 AND 50 STE 104, GRAND JUNCTION, CO 81505-1117
(970) 644-9900
(970) 773-5937
Mailing address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0995228-NP
CO
Other
Enumeration date
06/16/2020
Last updated
12/02/2020
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