Individual
KAEGAN MARIE CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 STANTON L YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104-5022
(405) 271-6434
(405) 271-6264
Mailing address
711 STANTON L YOUNG BLVD STE 430, OKLAHOMA CITY, OK 73104-5022
(405) 271-6434
(405) 271-6264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5295
OK
Other
Enumeration date
07/15/2024
Last updated
08/06/2026
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