Provider Demographics
NPI:1295731875
Name:STITES, SANDRA R (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:R
Last Name:STITES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:R
Other - Last Name:STELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10600 QUIVIRA RD
Mailing Address - Street 2:FL 3
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2309
Mailing Address - Country:US
Mailing Address - Phone:913-894-8500
Mailing Address - Fax:913-492-2874
Practice Address - Street 1:10600 QUIVIRA RD
Practice Address - Street 2:FL 3
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2309
Practice Address - Country:US
Practice Address - Phone:913-894-8500
Practice Address - Fax:913-492-2874
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-23437207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E81842Medicare UPIN