PHYLLIS L. SULLIVAN

SHAWNEE, KS
NPI1386686434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  05-24472)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  R1H49)
Enumeration Date2006-06-12
Last Update Date2011-09-13
Business Address
-- PHYLLIS L. SULLIVAN DO
7405 RENNER RD KU MEDWEST
SHAWNEE, KS 66217-9414
Phone number: 913-588-8400
Mailing Address
-- PHYLLIS L. SULLIVAN DO
2330 SHAWNEE MISSION PKWY MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312
WESTWOOD, KS 66205-2005
Phone number: 913-588-9000