Individual
DR. KEVIN ALAN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
209 E US HIGHWAY 54, EL DORADO SPRINGS, MO 64744-1925
(417) 876-3313
(417) 876-3813
Mailing address
209 E US HIGHWAY 54, EL DORADO SPRINGS, MO 64744-1925
(417) 876-3313
(417) 876-3813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005000317
MO
Other
Enumeration date
02/25/2007
Last updated
04/02/2020
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