National Provider Identifier
Kathleen B McCullough, NP
Kathleen B McCullough, NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Rochester, NY and a listed phone number of (585) 341-6780.
Profile Overview
- NPI
- 1508106709
- Provider Type
- Individual
- Primary Specialty
- Acute Care Nurse Practitioner
- Enumeration Date
- February 25, 2013
- Last Updated
- July 07, 2023
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2733
Phone: (585) 341-6780
Mailing Address
- Box 679-B
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Specialties
- Acute Care Nurse Practitioner (363LA2100X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1508106709
- Entity Type
- Individual
- Last Name
- McCullough
- First Name
- Kathleen
- Middle Name
- B
- Credential
- NP
- Provider Other Last Name
- Bryant
- Provider Other First Name
- Kathleen
- Provider Other Middle Name
- A
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Box 679-B
- Mailing Address Line 2
- 601 Elmwood Ave.
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 341-6780
- Mailing Fax
- (585) 341-8489
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 341-6780
- Practice Fax
- (585) 341-8489
- Enumeration Date
- February 25, 2013
- Last Updated
- July 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Acute Care Nurse Practitioner (363LA2100X), Medical Physician Assistant (363AM0700X)