Provider Demographics
NPI:1366488868
Name:SONNENSCHEIN, KENNETH NEAL (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:NEAL
Last Name:SONNENSCHEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4500 COLLEGE BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1799
Mailing Address - Country:US
Mailing Address - Phone:913-338-0400
Mailing Address - Fax:913-338-0428
Practice Address - Street 1:4500 COLLEGE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1799
Practice Address - Country:US
Practice Address - Phone:913-338-0400
Practice Address - Fax:913-338-0428
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04283942084P0804X
MO1196282084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS405733OtherBC&BS OF KS
MO26044014OtherBC&BS OF KC