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

Keidra McCullough

Individual provider Specialist · NPI 1477499101

Keidra McCullough is a Specialist in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

314 Signal Hill Dr
Statesville, NC 28625-4357
Phone: (704) 450-9104
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CT2780 (NC)
Specialist Taxonomy 174400000X · Licence C89143 (NC)

Record details

NPI number1477499101
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 26, 2026

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