Cully, Kathryn Rose

Cully, Kathryn Rose is an sole proprietor health care provider with primary practice located at 17256 New Dennison Rd , Marion IL 62959-6220. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Cully, Kathryn Rose can be contacted via phone (618) 364-6808.

Contact Information

Primary practice address
17256 New Dennison Rd Marion IL 62959-6220
Phone: (618) 364-6808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois

Profile Details

NPI number 1588323752
LBN Legal business name Cully, Kathryn Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2021
Last updated Dec 14th, 2021 - about 3 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 1588323752 NPPES
Illinois Other SYG125146001001 BLUE CROSS BLUE SHIELD INSURANCE

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