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Contact Information

SUE A DOUGLAS, MD
2001 SHAWNEE MISSION PKWY STE 130
MISSION WOODS, KS66205-2060
 Phone: 913-228-2000
 Fax: 855-354-0963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SUE A DOUGLAS · (Female)

NPI # 1497750731
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2005
Last updated 04/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M7958
  • TX Medicaid 194491002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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