Search › Kansas › 106E00000X
Braden Sullivan, N/A
NPI 1053840975 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2258 N Lakeway Cir
Wichita, KS 67205 - Phone
- (316) 945-7117
- Fax
- (316) 945-7447
- Clinicians at this address
- 12
Additional practice sites
- 3223 N Oliver St, Wichita, KS
Registry record
- Primary taxonomy
- 106E00000X
106E00000X
- Also registered as
- 385HR2060X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas