Mccullough, Rebecca

Mccullough, Rebecca is an individual health care provider with primary practice located at 7900 Lees Summit Rd , Kansas City MO 64139-1236. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mccullough, Rebecca can be contacted via phone (816) 404-7600.

Contact Information

Primary practice address
7900 Lees Summit Rd Kansas City MO 64139-1236
Phone: (816) 404-7600
Fax: (816) 404-7612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2017025357 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2017025357 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1306376009
LBN Legal business name Mccullough, Rebecca
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Nov 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306376009 NPPES
Missouri MEDICAID 220049696

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