Individual
MRS. KYLI ANN MCCULLOUGH-GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC, FNP-C
Contact information
Practice address
610 N SAWYER RD, KENDALLVILLE, IN 46755-2566
(260) 347-5592
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015167A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.0034654
OH
Other
Enumeration date
10/17/2023
Last updated
06/21/2024
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