Individual
DR. KEVIN JOSEPH CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6841
(410) 328-2578
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-6841
(410) 328-2578
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D34714
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443231201
—
MD
01
—
686447-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/14/2006
Last updated
03/07/2011
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