Individual
DR. BEATTY G. SUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8600 QUIVIRA RD STE 100, LENEXA, KS 66215-2857
(913) 831-7400
(913) 831-7409
Mailing address
8600 QUIVIRA RD STE 100, LENEXA, KS 66215-2857
(913) 831-7400
(913) 831-7409
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-30624
KS
207W00000X
Ophthalmology Physician
2006024383
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
04-30624
KS
207WX0107X
Retina Specialist (Ophthalmology) Physician
2006024383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105773
BLUE CROSS BLUE SHIELD OF
KS
05
—
200312403
—
MO
05
—
200399660B
—
KS
Enumeration date
06/16/2006
Last updated
09/01/2022
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