Individual
MRS. REBECCA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7600
(816) 404-7612
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2017025357
MO
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
2017025357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220049696
—
MO
Enumeration date
06/14/2017
Last updated
11/04/2025
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