Individual
DR. DESIREE SUE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16575 W 119TH ST, OLATHE, KS 66061-7770
(913) 815-5508
Mailing address
16575 W 119TH ST, OLATHE, KS 66061-7770
(913) 815-5508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-49159
KS
207R00000X
Internal Medicine Physician
51023
CO
207R00000X
Internal Medicine Physician
TL3359
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022562
KAISER COMMERCIAL NUMBER
CO
05
—
30005157700001
—
KS
05
—
87880318
—
CO
Enumeration date
12/16/2009
Last updated
02/13/2026
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