Individual
MS. PAMELA ANN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
Mailing address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 368-2340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1068451
KY
363LA2200X
Adult Health Nurse Practitioner
3002565
KY
363LF0000X
Family Nurse Practitioner
Primary
3002565
KY
Other
Enumeration date
11/30/2005
Last updated
09/23/2025
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