Individual
BRADY KULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Mailing address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3838
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2019
Last updated
05/05/2023
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