Individual
MRS. KIMBERLIE DIANE MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8001 S US HIGHWAY 75 # 75090, SHERMAN, TX 75090-5707
(903) 532-1400
Mailing address
8001 S US HIGHWAY 75 # 75090, SHERMAN, TX 75090-5707
(903) 532-1400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
301848
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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