Individual
DR. SUSAN K BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11237 NALL AVE STE 130, LEAWOOD, KS 66211-1655
(913) 469-3690
(913) 469-3692
Mailing address
11237 NALL AVE STE 130, LEAWOOD, KS 66211-1655
(913) 469-3690
(913) 469-3692
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
04-29549
KS
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
0429549
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202879427
CIGNA
MO
01
—
202879427
HUMANA
—
01
—
202879727
GREAT WEST HEALTHCARE
—
05
—
207754219
—
MO
01
—
21386021
BCBS OF KC
MO
01
—
5778210
AETNA
MO
Enumeration date
06/08/2005
Last updated
04/29/2019
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