Individual
KIMBERLY ROSE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18525 EMERALD CIR UNIT G, BROOKFIELD, WI 53045-0602
(414) 587-2984
Mailing address
18525 EMERALD CIR UNIT G, BROOKFIELD, WI 53045-0602
(414) 587-2984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
227169
WI
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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