Individual
KATHLEEN CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21202 OLEAN BLVD, C1, PORT CHARLOTTE, FL 33952-6751
(941) 391-5495
(941) 875-9875
Mailing address
21202 OLEAN BLVD, C1, PORT CHARLOTTE, FL 33952-6751
(941) 391-5495
(941) 875-9875
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0002743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1089S
MEDICARE PTAN
FL
01
—
E1089T
MEDICARE PTAN
FL
Enumeration date
08/13/2006
Last updated
05/19/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us