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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH MICHAEL MCCULLOUGH, PA-C

Active

MR. 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 175
COEUR D ALENE, ID, 838144401
Browse 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.