Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kim Leslie McCullough, MD

Individual provider Surgery Physician · NPI 1194777680

Dr. Kim Leslie McCullough, MD is a General Surgery in Sault Sainte Marie, Michigan. Graduated from University of Michigan Medical School in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
42
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 Osborn Blvd Ste 2600
Sault Sainte Marie, MI 49783-1899
Phone: (906) 635-1048
Fax: (906) 635-3103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence KM405465 (MI)

Record details

NPI number1194777680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2006
Last updated in NPPESFebruary 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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