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KELLY MCCULLOUGH
NPI 1063802981
Student in an Organized Health Care Education/Training Program in Brazil, IN

Active since January 30, 2015
954 N COUNTY ROAD 250 W, BRAZIL, IN 47834(812) 243-5925 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MCCULLOUGH (NPI 1063802981) is an individual student in an organized health care education/training program in Brazil, Indiana and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1063802981
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY MCCULLOUGH
Location Address954 N COUNTY ROAD 250 WBrazil, IN 47834-7495
Mailing Address954 N County Road 250 WBrazil, IN 47834-7495
Phone(812) 243-5925
Sole ProprietorNo
Enumeration DateJanuary 30, 2015
✔ NPI 1063802981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
954 N COUNTY ROAD 250 W, Brazil, IN 47834
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mccullough's NPI number?

The NPI number for Kelly Mccullough is 1063802981. It was assigned to this individual provider in the NPPES registry on January 30, 2015.

Where is Kelly Mccullough located?

Kelly Mccullough practices at 954 N County Road 250 W, Brazil, IN 47834. The listed phone number is (812) 243-5925.

What is Kelly Mccullough's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Mccullough was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.