Search › Kansas › 207V00000X
Nicole Petrillo, MD
NPI 1336728278 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7440 W Frontage Rd
Shawnee Mission, KS 66203 - Phone
- (913) 236-6455
Additional practice sites
- 3500 Gaston Ave, Dallas, TX
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 390200000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-17
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