KEVAN PATRICK MCCULLUM

LOUISVILLE, KY
NPI1114533825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3015146)
Enumeration Date2020-09-17
Last Update Date2020-09-22
Business Address
KEVAN PATRICK MCCULLUM APRN
908 DUPONT RD
LOUISVILLE, KY 40207-4602
Phone number: 502-749-7909
Mailing Address
KEVAN PATRICK MCCULLUM APRN
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number:
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