Individual
STEVEN J MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 304, PADUCAH, KY 42003-7914
(270) 538-5596
(270) 538-5597
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(270) 538-5596
(270) 538-5597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02706
KY
207RN0300X
Nephrology Physician
02706
KY
208M00000X
Hospitalist Physician
02706
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64069461
—
KY
Enumeration date
11/06/2006
Last updated
09/17/2023
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