Kyle W Mccullough

NPI #1659180321 in North Bend, Oregon

Provider Information

NPI Number: 1659180321
Entity Type: Individual
Name: Kyle W Mccullough
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

Practice Location

Address: 400 VIRGINIA AVE STE 201
City: North Bend
State: Oregon
ZIP Code: 97459-3444
Phone: (541) 751-0357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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