Ms. Kimberly M Mccullough, PA-C
Physician Assistant in Galloway, New Jersey
1689430258- Practice location
- 66 W Jimmie Leeds RD # Rs, Galloway, NJ 08205-9401
- Phone
- 609-748-9100
- Fax
- —
- Last updated
- May 21, 2025
Kimberly Marie Mccullough is a Physician Assistant based in Galloway, NJ. Kimberly Marie Mccullough practices in Galloway, NJ and has the professional credentials of PA-C. The NPI Number for Kimberly Marie Mccullough is 1689430258 and holds a License No. 25MP00833200 (NJ). The current practice location address for Kimberly Marie Mccullough is 66 W Jimmie Leeds RD # Rs, Galloway, NJ 08205-9401 and can be reached out via phone at 609-748-9100.
Provider Profile Details
- NPI Number
- 1689430258
- Provider Name
- Kimberly Marie Mccullough
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 W Jimmie Leeds RD # Rs, Galloway, NJ 08205-9401
- Phone Number
- 609-748-9100
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 22, 2024
- Last Update Date
- May 21, 2025
- Certification Date
- May 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 W Jimmie Leeds RD # Rs
Galloway, NJ 08205-9401 - City
- Galloway
- State
- New Jersey
- Zip
- 08205-9401
- Phone Number
- 609-748-9100
Provider Business Mailing Address Details
- Address
- 221 Pennant Ave
Beachwood, NJ 08722-3933 - City
- Beachwood
- State
- NJ
- Zip
- 08722-3933
- Phone Number
- 848-333-3372
License Information
- License Number
- 25MP00833200
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Galloway, NJ
View all Physician Assistants in Galloway →Frequently Asked Questions
What is the NPI number of Ms. Kimberly M Mccullough, PA-C?
The NPI number of Ms. Kimberly M Mccullough, PA-C is 1689430258. It was assigned on February 22, 2024 and is currently active in the NPPES registry.
What is the specialty of Ms. Kimberly M Mccullough, PA-C?
Ms. Kimberly M Mccullough, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00833200.
Where does Ms. Kimberly M Mccullough, PA-C practice?
The practice location is 66 W Jimmie Leeds RD # Rs, Galloway, NJ 08205-9401. The office can be reached at 609-748-9100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689430258 directly on the NPPES registry website.