Individual
DR. GREGG A COUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6504
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30430
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000103684
TRICARE
KS
01
—
103684
BLUE CROSS BLUE SHIELD
KS
01
—
473350
FIRST GUARD
KS
Enumeration date
10/03/2005
Last updated
03/01/2023
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