Kevin Mccullum in Plattsburgh - Family Medicine
Kevin Mccullum - NPI 1063518975
Kevin Mccullum is a Family Medicine in Plattsburgh, New York. Kevin Mccullum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin Mccullum is 1063518975. The last update date is 2020-02-18.
Kevin Mccullum's current location address is 154 Prospect Ave, Plattsburgh, New York. You can contact this provider via phone number 5185635440 and fax number 5185631206. The mailing address for Kevin Mccullum is 154 Prospect Ave, Plattsburgh, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Mccullum |
|---|---|
| Address | 154 Prospect Ave, Plattsburgh, New York |
| Phone Number | 5185635440 |
| Fax Number | 5185631206 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063518975 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2020-02-18 |
Provider Mailing Address Detail
| Address | 154 Prospect Ave |
|---|---|
| City | Plattsburgh |
| State | New York (NY) |
| Post Code | 129011302 |
| Phone Number | 5185635440 |
| Fax Number | 5185631206 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 164868 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1279267 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin Mccullum by the Centers for Medicare & Medicaid Services?
The Kevin Mccullum has been assigned the NPI (National Provider Identifier) 1063518975 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kevin Mccullum is geographically located?
The Kevin Mccullum is physically situated at the following location: 154 Prospect Ave, Plattsburgh, NY, 129011302.
What is the Kevin Mccullum's specialty and taxonomy code?
The Kevin Mccullum's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Kevin Mccullum receive its 1063518975 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Mccullum was assigned its 1063518975 on 2006-09-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kevin Mccullum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin Mccullum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-02-18.