Individual provider · Type 1 NPI
Phillip Jeremiah Culbertson
Student in an Organized Health Care Education/Training Program · Affton, MO
NPI number
1255299004
Active
Practice location
6504 Lawnside Dr
Affton, MO 63123-3310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
Other student in an organized health care education/training program providers in Affton
About NPI 1255299004
Phillip Jeremiah Culbertson's National Provider Identifier is 1255299004, issued on Jan 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Affton, MO. The record was last updated on Jan 12, 2026.