person
Kathleen Cullen, PA
Medical Physician Assistant in Port Charlotte, Florida
NPI 1588676985

Kathleen Cullen is a Medical Physician Assistant based in Port Charlotte, FL and is specialized in Medical. Kathleen Cullen practices in Port Charlotte, FL and has the professional credentials of PA. The NPI Number for Kathleen Cullen is 1588676985 and holds a License No. PA0002743 (Florida).

The current practice location address for Kathleen Cullen is 21202 Olean Blvd, Port Charlotte, FL and can be reached out via phone at 941-391-5495 and via fax at 941-875-9875.

Location: 21202 Olean Blvd, Port Charlotte, FL, 33952-6751
person
Provider Profile Details
NPI Number
1588676985
Provider Name
Kathleen Cullen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
21202 Olean Blvd, Port Charlotte, FL, 33952-6751
Phone Number
941-391-5495
Fax Number
941-875-9875
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E1089S 01 FL MEDICARE PTAN
E1089T 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
21202 Olean Blvd
City
State
Zip
33952-6751
Phone Number
941-391-5495
Fax Number
941-875-9875
person
Provider Business Mailing Address Details
Address
21202 Olean Blvd
City
State
Zip
33952-6751
Phone Number
941-391-5495
Fax Number
941-875-9875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA0002743 (Florida)
Definition
Definition to come...
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