Mccullough, Kirsten Jean

Mccullough, Kirsten Jean is an individual health care provider with primary practice located at 6801 W 20Th St Suite 101, Greeley CO 80634-9637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mccullough, Kirsten Jean can be contacted via phone (970) 378-8000.

Contact Information

Primary practice address
6801 W 20Th St Suite 101 Greeley CO 80634-9637
Phone: (970) 378-8000
Fax: (970) 378-8088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3883 Colorado

Profile Details

NPI number 1336560051
LBN Legal business name Mccullough, Kirsten Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2013
Last updated Jan 21st, 2015 - about 10 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 1336560051 NPPES
Colorado Other PA.0003883 CO STATE BOARD

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