Individual
VALERIE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 561-7416
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012799
KY
363L00000X
Nurse Practitioner
71009958A
IN
Other
Enumeration date
04/14/2020
Last updated
06/08/2022
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