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Kiara Mccullough
NPI 1639085483 · on the registry since 2026
Practice
- Address
- 12755 N. Highway Ca-88
Lodi, CA 95240 - Phone
- (209) 210-2300
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-21
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