Healthcare Provider Details

I. General information

NPI: 1740765908
Provider Name (Legal Business Name): SARAH SYLVESTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W 151ST ST STE 100
OLATHE KS
66061-5351
US

IV. Provider business mailing address

153 W 151ST ST STE 100
OLATHE KS
66061-5300
US

V. Phone/Fax

Practice location:
  • Phone: 913-449-7474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number15-02198
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: