Cullen, Kevin Joseph

Cullen, Kevin Joseph is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Cullen, Kevin Joseph can be contacted via phone (410) 328-6841.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Fax: (410) 328-2578
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D34714 Maryland

Profile Details

NPI number 1225071236
LBN Legal business name Cullen, Kevin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 7th, 2011 - about 13 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 1225071236 NPPES
Maryland Other 686447-01 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 443231201 BLUE CROSS/BLUE SHIELD

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