Search › Kentucky › 164W00000X
Kelly Mcculloch
NPI 1437862109 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8709 Wooded Glen Rd
Louisville, KY 40220 - Phone
- (502) 836-4386
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-27
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 Kentucky