Individual
DR. NICOLE SUE ANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 W 119TH ST, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(877) 743-5908
Mailing address
5701 W 119TH ST, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(877) 743-5908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-39886
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2014
Last updated
08/01/2022
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