Healthcare Provider Details

I. General information

NPI: 1285660472
Provider Name (Legal Business Name): SUNFLOWER NEONATOLOGY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 COLLEGE BLVD SUITE 201
OVERLAND PARK KS
66210-2786
US

IV. Provider business mailing address

11600 COLLEGE BLVD SUITE 201
OVERLAND PARK KS
66210-2786
US

V. Phone/Fax

Practice location:
  • Phone: 913-310-0225
  • Fax: 913-310-0565
Mailing address:
  • Phone: 913-310-0225
  • Fax: 913-310-0565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHLEEN B. WEATHERSTONE
Title or Position: MANAGER
Credential: M.D.
Phone: 913-310-0225