Provider Demographics
NPI:1033192703
Name:CULP, MARILYN KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:KAY
Last Name:CULP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1145 S UTICA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4013
Mailing Address - Country:US
Mailing Address - Phone:918-579-2981
Mailing Address - Fax:918-579-1262
Practice Address - Street 1:1265 S UTICA AVE STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4243
Practice Address - Country:US
Practice Address - Phone:918-592-0999
Practice Address - Fax:918-592-1021
Is Sole Proprietor?:No
Enumeration Date:2005-11-26
Last Update Date:2023-01-03
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Provider Licenses
StateLicense IDTaxonomies
OK19097207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100256540BMedicaid
OK24M732306Medicare PIN
OKF99856Medicare UPIN