# DR. SUSAN K BONAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760486674
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 04-29549 | KS | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 0429549 | KS | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 04/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 202879427 | CIGNA | MO |
| 01 | — | 202879427 | HUMANA | — |
| 01 | — | 202879727 | GREAT WEST HEALTHCARE | — |
| 05 | — | 207754219 | — | MO |
| 01 | — | 21386021 | BCBS OF KC | MO |
| 01 | — | 5778210 | AETNA | MO |
