Penny L Suddock
Individual provider Active NPI Private Vehicle · Parsons, KS
NPI 1700901279 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700901279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 1507 Washington Ave
Parsons, KS 67357-3256 - Phone
- (620) 423-1547
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
1507 Washington Ave
Parsons, KS 67357-3256
Mailing address
1507 Washington Ave
Parsons, KS 67357-3256
Phone (620) 423-1547
Other providers in Parsons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.