Individual provider · Type 1 NPI

Bonnie Rae Sullivan, MD

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

NPI number 1275910366 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (501) 951-2775 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X2019020168 (MO)
Clinical Genetics (M.D.) Physician Primary 207SG0201X2019020168 (MO)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1275910366

Bonnie Rae Sullivan, MD's National Provider Identifier is 1275910366, issued on Apr 28, 2015. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Kansas City, MO. The record was last updated on Oct 8, 2019.