Individual
WES MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1264 SW SUMMIT CROSSING CIR, LEES SUMMIT, MO 64081-3265
(816) 665-6678
Mailing address
1264 SW SUMMIT CROSSING CIR, LEES SUMMIT, MO 64081-3265
(816) 665-6678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2001006628
MO
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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