Individual
WILLIAM A MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MCMSC
Contact information
Practice address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01493
KS
363A00000X
Physician Assistant
Primary
2144
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01493
STATE OF KANSAS LICENSE
KS
Enumeration date
11/08/2011
Last updated
04/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us