Organization
KC PULMONARY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABATO A SISILLO M.D. (OWNER)
(913) 268-5400
Entity
Organization
Contact information
Practice address
16663 MIDLAND DR, SUITE 100, SHAWNEE, KS 66217-3042
(913) 268-5400
(913) 268-5410
Mailing address
PO BOX 25787, SHAWNEE MISSION, KS 66225-5787
(913) 268-5400
(913) 268-5410
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32577015
BCBS KANSAS CITY
—
Enumeration date
09/20/2006
Last updated
08/22/2020
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