Healthcare Provider Details

I. General information

NPI: 1831094846
Provider Name (Legal Business Name): KERRY LOUISE MCCULLAH R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FALLON RURAL CLINIC 141 KEDDIE ST
FALLON NV
89406
US

IV. Provider business mailing address

FALLON RURAL CLINIC 141 KEDDIE ST
FALLON NV
89406
US

V. Phone/Fax

Practice location:
  • Phone: 775-687-2298
  • Fax: 775-423-4020
Mailing address:
  • Phone: 775-687-2298
  • Fax: 775-423-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN20015
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: