IndividualActive
Alicia Mccullough, DO
NPI 1689235301 · Psychiatry Physician · Kansas City, MO
Provider details
- NPI number
- 1689235301
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 0548330 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4400 Broadway Blvd Ste 300
Kansas City, MO 64111-3342
Phone: (816) 932-1711
Approximate (ZIP-level) locationGet directions
Mailing address
901 E 104th St
Kansas City, MO 64131
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.