SearchKansas363A00000X

Shanna Suderman, PA-C

NPI 1588704076 · on the registry since 2007

Practice

Address
9300 E 29th St N Ste 310
Wichita, KS 67226
Phone
(316) 612-1833
Fax
(316) 612-2420
Organisation at this address
Ict Eye Llc
Central Care, Pa
Cypress Heart, Pa
Mid Kansas Intimate
Heartland Pathology Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 1715 Medical Pkwy Ste D-1, Newton, KS

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas