MS. KELLY L CULLEN (NPI# 1841568110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841568110 |
| Entity Type | Individual |
| Full Name | MS. KELLY L CULLEN |
| Credential | LADC |
| Practice Address |
3686 Abercrombie Ln Stillwater MN 55082-4194 |
| Practice Telephone | 6512109652 |
| Mailing Telephone | 6512109652 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302020 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391240 | Kelly Cullen | Chiropractor | 231 Blue Ravine Rd, #200, Folsom, CA 95630-3893 | 2014-02-18 |
| Street Address |
3686 ABERCROMBIE LN |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555188 | Hope Counseling LLC | Counselor | 1903 Greeley St S Ste 201, Stillwater, MN 55082-6279 | 2020-07-17 |
| 1255856928 | Julie Ann Moylan | Counselor | 116 Chestnut St E # 150, Stillwater, MN 55082-5116 | 2017-08-03 |
| 1467805630 | Katrina Koren | Counselor | 2a Gurba Dr, Stillwater, NY 12170-1213 | 2016-07-22 |
| 1225475643 | David Fried | Counselor | 2602 Shinnery Ct, Stillwater, OK 74074-7407 | 2013-05-24 |
| 1427329184 | Sandrel Jones-webster | Counselor | 717 S Hester St, Stillwater, OK 74074-4520 | 2012-01-25 |
| 1972871481 | Tammy Lynn Richmond | Counselor | 1804 S Perkins Rd, Stillwater, OK 74074-7939 | 2011-12-12 |
| 1104106749 | Tamara S. Defranc | Counselor | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2011-08-26 |
| 1114216959 | Kara Sue Niccum | Counselor | 320 Student Union, Stillwater, OK 74078 | 2011-04-01 |
| 1346567245 | Debra Lynn Haney-carr | Counselor | 715 Pecan Hill St, Stillwater, OK 74074-1183 | 2010-05-01 |
| 1669627386 | Krissi Ann Morton | Counselor | 424 Squires, Suite 100m, Stillwater, OK 74074-2558 | 2008-11-21 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on MS. KELLY L CULLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.