Individual
KAEGAN MARIE CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 945-5467
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 949-3349
(405) 945-5467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5295
OK
Other
Enumeration date
07/15/2024
Last updated
09/20/2024
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