Individual
SONNI P ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12620 JUNIPER CIR, LEAWOOD, KS 66209-3129
(314) 324-1202
Mailing address
PO BOX 11532, OVERLAND PARK, KS 66207-4232
(913) 333-0448
(913) 444-2913
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-35752
KS
2084P0800X
Psychiatry Physician
2010015932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200655980B
—
KS
Enumeration date
07/30/2007
Last updated
05/23/2022
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