Individual
KATHLEEN B MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6780
(585) 341-8489
Mailing address
BOX 679-B, 601 ELMWOOD AVE., ROCHESTER, NY 14642-0001
(585) 341-6780
(585) 341-8489
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
430654
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430654-1
NY
Other
Enumeration date
02/25/2013
Last updated
07/07/2023
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