Individual
MRS. KELLY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6709 RIDGE RD STE 302, PORT RICHEY, FL 34668-6867
(727) 478-8876
(877) 487-5705
Mailing address
7227 LAND O LAKES BLVD, LAND O LAKES, FL 34638-2826
(727) 774-2360
(813) 794-2120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2752232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302434200
—
FL
Enumeration date
08/25/2005
Last updated
05/12/2026
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