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KELLY MCCULLOCH
NPI 1437862109
Licensed Practical Nurse in Louisville, KY

Active since December 27, 2022
8709 WOODED GLEN RD, LOUISVILLE, KY 40220(502) 836-4386 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Mcculloch NPPES

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

KELLY MCCULLOCH (NPI 1437862109) is an individual licensed practical nurse in Louisville, Kentucky, licensed in Kentucky (2050329) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1437862109
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY MCCULLOCH
Location Address8709 WOODED GLEN RDLouisville, KY 40220-2949
Mailing Address1700 Cargo CtLouisville, KY 40299-1938
Phone(502) 836-4386
Sole ProprietorYes
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1437862109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in KY · 2050329
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
8709 WOODED GLEN RD, Louisville, KY 40220
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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 Mcculloch's NPI number?

The NPI number for Kelly Mcculloch is 1437862109. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Kelly Mcculloch located?

Kelly Mcculloch practices at 8709 Wooded Glen Rd, Louisville, KY 40220. The listed phone number is (502) 836-4386.

What is Kelly Mcculloch's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mcculloch was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.