Mccullagh, Kelly Anne

Mccullagh, Kelly Anne is an individual health care provider with primary practice located at 21700 Kingsland Blvd Suite 202, Katy TX 77450-2513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccullagh, Kelly Anne can be contacted via phone (281) 398-8639.

Contact Information

Primary practice address
21700 Kingsland Blvd Suite 202 Katy TX 77450-2513
Fax: (281) 398-5019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J0113 Texas

Profile Details

NPI number 1588662886
LBN Legal business name Mccullagh, Kelly Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Feb 1st, 2017 - about 7 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 1588662886 NPPES
Texas MEDICAID 045349001

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