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Contact Information

JOHN E SUTPHIN JR, MD
7400 STATE LINE RD
SUITE 100
PRAIRIE VILLAGE, KS66208-3444
 Phone: 913-588-6600
 Fax: 913-588-6655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOHN E SUTPHIN JR · (Male)

NPI Number 1891796462
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 29191
  • KS License # 0432154
  • TX License # G2860
  • KS Medicaid 2007407810A
  • IA Other 12483 WELLMARCK BCBS
  • KS Other E97E868A MEDICARE
Hospital affiliation(s)
  • UNIVERSITY OF KANSAS HOSPITAL - (Acute Care)
    3901 RAINBOW BLVD
    KANSAS CITY, KS 66103
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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