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Kevin Cullen
NPI 1407103567 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3206 W Balboa Blvd
Newport Beach, CA 92663 - Phone
- (949) 723-2388
- Fax
- (949) 723-1288
- Organisation at this address
- Balboa Recovery
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Point of Service
305S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California