Organization
KATHRYN MCCULLOUGH OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MCCULLOUGH OD (OWNER)
(662) 871-4169
Entity
Organization
Contact information
Practice address
1028 FAWN DR, TUPELO, MS 38804-1924
(662) 871-4169
Mailing address
1028 FAWN DR, TUPELO, MS 38804-1924
(662) 871-4169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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