Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH MICHAEL MCCULLOUGH, PA-C
ActiveMR. KEITH MICHAEL MCCULLOUGH, PA-C is a Physician Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1447800552 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1447800552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2019 (6.8998923763429 yrs)
- Last Updated
- Aug 3, 2025
- License
-
PA-1818 (ID)
Practice Information
- Address
-
700 W IRONWOOD DR STE 175COEUR D ALENE, ID, 838144401Browse ID providers · Browse ZIP 83814
- Phone
- 2086256300
- Fax
- 2086256301
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| LAURIE GALLEGOS | PA-C | 1215926258 |
| MAGEN S SCHMIDT | PAC | 1497738827 |
| JAMES W DUTKIEWICZ | PA | 1114992179 |
| MS. KATIE DAWN JARSTAD | PA-C | 1326099672 |
| MR. SCOTT WILLIAM GIBBS | PA-C | 1912959321 |
| JOANNE M HUESTIS | PA-C | 1902850449 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.