Mccullough, Kristen

Mccullough, Kristen is an individual health care provider with primary practice located at 606 24Th Ave S Suite 700, Minneapolis MN 55454-1455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mccullough, Kristen can be contacted via phone (612) 672-2450.

Contact Information

Primary practice address
606 24Th Ave S Suite 700 Minneapolis MN 55454-1455
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R0975355 Minnesota

Profile Details

NPI number 1396711313
LBN Legal business name Mccullough, Kristen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 12th, 2012 - about 12 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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