Individual
CHRISTIAN E. CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-7193
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-7193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-29370
KS
207Q00000X
Family Medicine Physician
0429370
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100642430B
—
KS
01
—
103714
BCBS
KS
01
—
522210
FIRST GUARD
KS
01
—
P00131462
TRAVELERS UNITED HLTHCARE
—
Enumeration date
06/29/2006
Last updated
12/29/2017
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