Individual
DR. KYLE MCCULLOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1107 HIGHLAND COLONY PKWY STE 109, RIDGELAND, MS 39157-6079
(601) 896-6894
(601) 203-3034
Mailing address
1107 HIGHLAND COLONY PKWY STE 109, RIDGELAND, MS 39157-6079
(601) 896-6894
(601) 203-3034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7352
MS
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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