MACKENZIE ALLEN MCCULLOUGH MD NPI 1902479231

NPI Information

NPI: 1902479231
Provider Name: MACKENZIE ALLEN MCCULLOUGH, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK
ZIP 73102
Phone: (405) 272-7494
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Mackenzie Allen Mccullough, MD is a student in an organized health care education training program in Oklahoma City, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mackenzie Allen Mccullough, MD NPI is 1902479231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

608 NW 9TH ST STE 1000
OKLAHOMA CITY, OK
ZIP 73102-014
Phone: (405) 272-7494

The enumeration date for this NPI number is 7/23/2021 and was last updated on 7/23/2021.

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
1	390200000X	Student in an Organized Health Care Education/Training Program		38220	OKLAHOMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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