Individual
CATHY LYNN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
KNIGHTS AND RED LIONS ROADS, PHILADELPHIA, PA 19114
(215) 612-4000
Mailing address
KNIGHTS AND RED LION ROADS, PHILADELPHIA, PA 19114-0000
(215) 491-7496
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN240162L
PA
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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