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Contact Information

KATHRYN CULLUM, PA-C
5433 W WALSH LN
ROGERS, AR72758-8946
 Phone: 479-777-8014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHRYN CULLUM · (Female)

NPI # 1942061650
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/19/2024
Last updated 02/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PA-1242
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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