Kevin Mcculloch, is a
Dietitian, Registered based in Addison, Texas. Kevin Mcculloch is licensed to practice in * (Not Available) (license number ) and his current practice location is
17051 Dallas Pkwy Ste 150, Addison, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 733-3090.
NPI number for Kevin Mcculloch is 1205422037 and his current mailing address is 5613 Heron Bay Ln, Mckinney, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205422037.
Healthcare Provider's Profile
Full Name | Kevin Mcculloch |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 17051 Dallas Pkwy Ste 150, Addison, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205422037
- Provider Enumeration Date: 12/16/2020
- Last Update Date: 12/16/2020
Medical Identifiers
Medical identifiers for Kevin Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205422037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Mcculloch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kevin Mcculloch, 5613 Heron Bay Ln, Mckinney, TX 75070-4842 Ph: (214) 557-6288 | Kevin Mcculloch, 17051 Dallas Pkwy Ste 150, Addison, TX 75001-7106 Ph: (972) 733-3090 |
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