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Contact Information

PHYLLIS A CULLEN, MD
1437 KILAUEA AVE
SUITE 103
HILO, HI96720-4200
 Phone: 808-498-4160
 Fax: 808-498-4163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PHYLLIS A CULLEN · (Female)

NPI # 1356309181
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 01/20/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G32403
  • HI License # MD 17298
  • CA Medicaid 00G324030
  • CA Other 1881883320 MEDICARE GROUP NPI
  • CA Other ZZZ06195Z MEDICARE GROUP PTAN
  • CA Other 00G324032 MEDICARE INDIVIDUAL PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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