Mccullough, Kelly D
Mccullough, Kelly D is an individual health care provider with primary practice located at 2979 Squalicum Pkwy Suite 301, Bellingham WA 98225-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mccullough, Kelly D can be contacted via phone (360) 734-1420.Contact Information
Primary practice address
2979 Squalicum Pkwy Suite 301
Bellingham WA 98225-1811
Phone: (360) 734-1420
Fax: (360) 756-6666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00040121 | Washington |
Profile Details
| NPI number | 1841256260 |
|---|---|
| LBN Legal business name | Mccullough, Kelly D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Feb 24th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841256260 | NPPES |
| Washington | MEDICAID | 8426272 |
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