KENNETH JESSE CULLANDER D.O. NPI 1740634534

NPI Information

  • NPI: 1740634534
  • Provider Name: KENNETH JESSE CULLANDER, D.O.
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • Address: 2817 ROCK MERRITT AVE
    FORT LIBERTY, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

Kenneth Jesse Cullander, D.O. is an addiction psychiatry psychiatry neurology in Fort Liberty, NC. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Kenneth Jesse Cullander, D.O. NPI is 1740634534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2817 ROCK MERRITT AVE
FORT LIBERTY, NC
ZIP 28310-001
Phone: (910) 907-8922
Fax: (910) 907-6069

The enumeration date for this NPI number is 4/18/2016 and was last updated on 11/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryOP61289600WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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