Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonnie Rae Sullivan, MD

Individual provider Pediatrics Physician · NPI 1275910366

Bonnie Rae Sullivan, MD is a Pediatrics Physician in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (501) 951-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 2019020168 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2019020168 (MO)

Record details

NPI number1275910366
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2015
Last updated in NPPESOctober 8, 2019

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