Individual
SHAYLA ANN SULLIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3674
(816) 346-1382
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3674
(816) 346-1382
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2010028299
MO
2084P0804X
Child & Adolescent Psychiatry Physician
9406387
KS
Other
Enumeration date
04/03/2007
Last updated
10/05/2010
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