Individual
CODY T SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2214
Mailing address
17657 HASKINS, OVERLAND PARK, KS 66013-4536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-84172-111
KS
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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