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Individual

MR. FINNIAN CHRISTOPHER MCCULLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP, MS, BC

Contact information

Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044
(785) 843-9192
(785) 843-2219
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
(785) 843-2219

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74550
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295809192
KS
01
21643017
BCBS OF KANSAS CITY
KS
Enumeration date
11/20/2006
Last updated
08/10/2018
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