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Individual

PETER J SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
KUMC 3901 RAINBOW BLVD MS 1034, KANSAS CITY, KS 66160-0001
(913) 588-3302
(913) 588-3365

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9408895
KS
208800000X
Urology Physician
Primary
05-43714
KS
208800000X
Urology Physician
2026016769
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/12/2016
Last updated
06/30/2026
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