MEDICARE: DR. STEVEN M CULP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6121	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11040010	OTHER	MO	BLUE CROSS BLUESHIELD
2	27993	OTHER	KS	BLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number	:	1861531964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN M CULP

Provider Business Mailing Address
First Line	:	1854 MINNESOTA AVE
Second Line	:	ST. 3
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4122
Country	:	US
Telephone Number	:	913-371-1474
Fax Number	:	913-371-1474

Provider Business Practice Location Address
First Line	:	1854 MINNESOTA AVE
Second Line	:	ST. 3
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4122
Country	:	US
Telephone Number	:	913-371-1474
Fax Number	:	913-371-1474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. STEVEN M CULP ” Practice Location

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