Individual
DR. SARAH E SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3450 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2361
(816) 404-2170
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011009923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992976310
—
MO
01
—
45866011
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
Enumeration date
03/13/2008
Last updated
12/15/2020
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