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Kim Lee Mccullen, NP
Neonatal Nurse Practitioner in Detroit, Michigan
NPI 1609029289

Kim Lee Mccullen is a Neonatal Nurse Practitioner based in Detroit, MI and is specialized in Neonatal. Kim Lee Mccullen practices in Detroit, MI and has the professional credentials of NP. The NPI Number for Kim Lee Mccullen is 1609029289 and holds a License No. 4704207081 (Michigan).

The current practice location address for Kim Lee Mccullen is 22101 Moross Rd, Detroit, MI and can be reached out via phone at 313-343-4400.

Location: 22101 Moross Rd, Detroit, MI, 48236-2148
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Provider Profile Details
NPI Number
1609029289
Provider Name
Kim Lee Mccullen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
22101 Moross Rd, Detroit, MI, 48236-2148
Phone Number
313-343-4400
Fax Number
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704207081 01 MI BLUE CROSS GROUP 0N11180
institution
Provider Business Practice Location Address Details
Address
22101 Moross Rd
City
State
Zip
48236-2148
Phone Number
313-343-4400
Fax Number
person
Provider Business Mailing Address Details
Address
22101 Moross Rd
City
State
Zip
48236-2148
Phone Number
313-343-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
4704207081 (Michigan)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
4704207081 (Michigan)
Definition
Definition to come...
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