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Contact Information

KATHLEEN A MCCULLOUGH, CRNFA
RR 11 BOX 923
JACKSONVILLE, TX75766-9882
 Phone: 903-721-2274
 Fax: 903-586-2379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for KATHLEEN A MCCULLOUGH · (Female)

NPI Number 1407822968
Status Active
Credentials CRNFA
Entity Individual
Enumeration date 02/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 572813
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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