Mccullough, Kevin J

Mccullough, Kevin J is an individual health care provider with primary practice located at 555 S Sunrise Way Suite 112-113, Palm Springs CA 92264-7869. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Mccullough, Kevin J can be contacted via phone (760) 323-1973.

Contact Information

Primary practice address
555 S Sunrise Way Suite 112-113 Palm Springs CA 92264-7869
Phone: (760) 323-1973
Fax: (760) 320-5236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 54549 California

Profile Details

NPI number 1336426329
LBN Legal business name Mccullough, Kevin J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2011
Last updated Nov 4th, 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 1336426329 NPPES
California MEDICAID 1689826042

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