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PHILLIP JEREMIAH CULBERTSON
NPI 1255299004
Student in an Organized Health Care Education/Training Program in Affton, MO

Active since January 12, 2026
6504 LAWNSIDE DR, AFFTON, MO 63123(606) 367-0545 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillip Jeremiah Culbertson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP JEREMIAH CULBERTSON (NPI 1255299004) is an individual student in an organized health care education/training program in Affton, Missouri and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1255299004
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILLIP JEREMIAH CULBERTSON
Location Address6504 LAWNSIDE DRAffton, MO 63123-3310
Mailing Address6504 Lawnside DrAffton, MO 63123-3310 · (606) 367-0545
Phone(606) 367-0545
Sole ProprietorYes
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1255299004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6504 LAWNSIDE DR, Affton, MO 63123
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is Phillip Culbertson's NPI number?

The NPI number assigned to this healthcare provider is 1255299004, enumerated as an "individual" on January 12, 2026.

Where is the provider located?

The provider is located at 6504 LAWNSIDE DR AFFTON, MO 63123 and the phone number is (606) 367-0545.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.