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Keidra Mccullough

NPI 1477499101 · on the registry since 2026

Practice

Address
314 Signal Hill Dr
Statesville, NC 28625
Phone
(704) 450-9104
Organisation at this address
Shear Grace Hair Studio Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
174400000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina