Provider Demographics
NPI:1437709318
Name:SYLVESTER, KATHLEEN MEGAN (BA)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MEGAN
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1168
Mailing Address - Country:US
Mailing Address - Phone:913-240-4843
Mailing Address - Fax:
Practice Address - Street 1:5402 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-1168
Practice Address - Country:US
Practice Address - Phone:913-240-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator