Healthcare Provider Details

I. General information

NPI: 1063683902
Provider Name (Legal Business Name): SUNFLOWER MEDICAL GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5675 ROE BLVD SUITE 100
ROELAND PARK KS
66205
US

IV. Provider business mailing address

5675 ROE BLVD STE 100
ROELAND PARK KS
66205-2538
US

V. Phone/Fax

Practice location:
  • Phone: 913-432-2080
  • Fax: 913-432-5183
Mailing address:
  • Phone: 913-432-2080
  • Fax: 913-432-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number StateKS

VIII. Authorized Official

Name: YVETTE L GUISLAIN
Title or Position: BOARD MEMBER
Credential: MD
Phone: 913-676-6103