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

Mr. Kory McCullah, PA-C

Individual provider Physician Assistant · NPI 1902598568

Mr. Kory McCullah, PA-C is a Physician Assistant in Fort Drum, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone: (315) 774-2359
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902598568
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 23, 2023
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address5187 State Highway 56, Colton, NY 13625-7785

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