Whalio Doctors

NPI 1275910366

Bonnie Rae Sullivan, MD

Practitioner Clinical Genetics (M.D.) Physician Kansas City, MO

Practice location

Address
2401 Gillham Rd, Kansas City, MO 64108-4619
Phone
(501) 951-2775

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 2019020168 (MO)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2019020168 (MO)

Registry record

NPI
1275910366
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Apr 2015
Record last updated
8 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.