Sullivan, Phyllis L.

Sullivan, Phyllis L. is an individual health care provider with primary practice located at 7405 Renner Rd Ku Medwest, Shawnee KS 66217-9414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sullivan, Phyllis L. can be contacted via phone (913) 588-8400.

Contact Information

Primary practice address
7405 Renner Rd Ku Medwest Shawnee KS 66217-9414
Phone: (913) 588-8400
Fax: (913) 588-8413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-24472 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R1H49 Missouri

Profile Details

NPI number 1386686434
LBN Legal business name Sullivan, Phyllis L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386686434 NPPES
Other 481159444 JAYHAWK TAX ID
MEDICAID 100231070B JAYHAWK TAX ID
Other 10001636401 JAYHAWK TAX ID
Other 326972 JAYHAWK TAX ID
Other P00052983 JAYHAWK TAX ID
Other 13470888 JAYHAWK TAX ID
Other 157695XX JAYHAWK TAX ID
Other 25562039 JAYHAWK TAX ID
Other 4331498 JAYHAWK TAX ID

Popular Providers