Kathryn Mccullough Od LLC

NPI #1659765998 in Tupelo, Mississippi

Provider Information

NPI Number: 1659765998
Entity Type: Organization
Organization Name: Kathryn Mccullough Od LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 25, 2015
Last Updated: Mar 25, 2015

Practice Location

Address: 1028 FAWN DR
City: Tupelo
State: Mississippi
ZIP Code: 38804-1924
Phone: (662) 871-4169

Authorized Official

Name: KATHRYN MCCULLOUGH, OD
Title: OWNER
Phone: (662) 871-4169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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