Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARRETT GRAY SULLIVAN, M.D.
Active Sole ProprietorDR. GARRETT GRAY SULLIVAN, M.D. is a Family Medicine healthcare provider located in WESTWOOD, Kansas. NPI 1740300094 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WESTWOOD, KS
Registration Details
- NPI Number
- 1740300094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2007 (19.379535943562 yrs)
- Last Updated
- Mar 4, 2016
- Licenses
-
04-33297 (KS)2014012167 (MO)04-33297 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 W 51ST STWESTWOOD, KS, 662051747Browse KS providers · Browse ZIP 66205
- Phone
- 9136260254
- Fax
- 9136249601
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.