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MRS. KACI MCCULLERS RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1912240888
Individual Registrant:MRS. KACI MCCULLERS RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1140 PRATT BLVD LABELLE, FL 33935-4405 US
Tel: 863-674-4041 Fax: --
Tel: 863-674-4041 Fax: --
Contact information for business:
1140 PRATT BLVD LABELLE, FL 33935-4405 US
Tel: 863-674-4041 Fax: --
Tel: 863-674-4041 Fax: --
Registration Information:
NPI: 1912240888
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | FL | 9310081 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 027939900 | FL | 05 |
