Sullivan, Bonnie Rae

Sullivan, Bonnie Rae is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Sullivan, Bonnie Rae can be contacted via phone (501) 951-2775.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (501) 951-2775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019020168 Missouri
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 2019020168 Missouri

Profile Details

NPI number 1275910366
LBN Legal business name Sullivan, Bonnie Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2015
Last updated Oct 8th, 2019 - about 6 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.

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