Individual
KENNETH MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6336 99TH ST, REGO PARK, NY 11374-1979
(718) 275-1919
(718) 275-1955
Mailing address
6336 99TH ST, REGO PARK, NY 11374-1979
(718) 275-1919
(718) 275-1955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
220173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02880679
—
NY
Enumeration date
07/29/2005
Last updated
01/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us