MEDICARE: KATHRYN MCCULLOUGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	0995228-NP	CO

General Provider Information

NPI Number	:	1205452141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MCCULLOUGH

Provider Business Mailing Address
First Line	:	300 S NEVADA AVE
Second Line	:
City	:	MONTROSE
State	:	CO
Zip	:	81401-4273
Country	:	US
Telephone Number	:	970-249-7751
Fax Number	:	970-249-5029

Provider Business Practice Location Address
First Line	:	2454 HWY 6 AND 50 STE 104
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1117
Country	:	US
Telephone Number	:	970-644-9900
Fax Number	:	970-773-5937

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2020
Last Update Date	:	12/02/2020

Similar Medicare Providers

1396898169 — JOHN E MILLER PA-C
Practice Location Address:

2454 HWY 6 AND 50 STE 104
GRAND JUNCTION, CO
81505-1117

Practice Phone: 970-249-7751
Practice Fax:

1538779699 — MEREDITH DAVIS
Practice Location Address:

2454 HWY 6 AND 50 STE 104
GRAND JUNCTION, CO
81505-1117

Practice Phone: 970-644-9900
Practice Fax:

1003407818 — CEDAR POINT HEALTH LLC
Practice Location Address:

2454 HWY 6 AND 50 STE 104
GRAND JUNCTION, CO
81505-1117

Practice Phone: 970-644-9900
Practice Fax: 970-773-5937

1649908534 — CEDAR POINT HEALTH LLC
Practice Location Address:

2454 HIGHWAY 6&50 , #104
GRAND JUNCTION, CO
81505-1117

Practice Phone: 970-644-9900
Practice Fax: 970-541-9806

1265254650 — NORA LYNN WOODWORTH
Practice Location Address:

913 ELLIOTT AVE
GRAND HAVEN, MI
49417-1117

Practice Phone: 616-312-5530
Practice Fax:

1275330722 — DELORES ADELLA SPOTANSKI
Practice Location Address:

4027 W CAPITAL AVE
GRAND ISLAND, NE
68803-1117

Practice Phone: 308-201-0282
Practice Fax:

Directions to “ KATHRYN MCCULLOUGH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.