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1437862109
KELLY MCCULLOCH
LOUISVILLE, KY
NPI
1437862109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 2050329)
Enumeration Date
2022-12-27
Last Update Date
2022-12-27
Business Address
KELLY MCCULLOCH
8709 WOODED GLEN RD
LOUISVILLE, KY 40220-2949
Phone number: 502-836-4386
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Mailing Address
KELLY MCCULLOCH
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number:
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