Cullen, Kathleen

Cullen, Kathleen is an individual health care provider with primary practice located at 21202 Olean Blvd C1, Port Charlotte FL 33952-6751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cullen, Kathleen can be contacted via phone (941) 391-5495.

Contact Information

Primary practice address
21202 Olean Blvd C1 Port Charlotte FL 33952-6751
Phone: (941) 391-5495
Fax: (941) 875-9875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0002743 Florida

Profile Details

NPI number 1588676985
LBN Legal business name Cullen, Kathleen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated May 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588676985 NPPES
Florida Other E1089S MEDICARE PTAN
Florida Other E1089T MEDICARE PTAN

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