Provider Demographics
NPI:1912302175
Name:MANHATTAN GYNECOLOGY
Entity Type:Organization
Organization Name:MANHATTAN GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-708-2846
Mailing Address - Street 1:2900 AMHERST AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3043
Mailing Address - Country:US
Mailing Address - Phone:316-708-2846
Mailing Address - Fax:
Practice Address - Street 1:2900 AMHERST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3043
Practice Address - Country:US
Practice Address - Phone:316-708-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS0434347207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty