Mccullum, Kevin
Mccullum, Kevin is an sole proprietor health care provider with primary practice located at 96 Court St , Plattsburgh NY 12901-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccullum, Kevin can be contacted via phone (518) 562-1080.Contact Information
Primary practice address
96 Court St
Plattsburgh NY 12901-2733
Phone: (518) 562-1080
Fax: (518) 562-3316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 164868 | New York |
Profile Details
| NPI number | 1063518975 |
|---|---|
| LBN Legal business name | Mccullum, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Feb 18th, 2020 - about 5 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 | 1063518975 | NPPES |
| New York | MEDICAID | 01279267 |
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