Individual
DR. KIRK A MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
04-36662
KS
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
2013026069
MO
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
35.121283
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
04-36662
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2013026069
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35.121283
OH
Other
Enumeration date
06/11/2007
Last updated
08/21/2024
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