Provider Demographics
NPI:1366739906
Name:SUFFICOOL, KARI ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ELIZABETH
Last Name:SUFFICOOL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2 CARLSON PKWY N
Mailing Address - Street 2:STE 240
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4485
Mailing Address - Country:US
Mailing Address - Phone:314-256-3413
Mailing Address - Fax:314-256-3562
Practice Address - Street 1:1001 CHESTERFIELD PKWY E
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2112
Practice Address - Country:US
Practice Address - Phone:763-317-1580
Practice Address - Fax:952-473-7281
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-04
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2015001249207ZD0900X
IL036.158037207ZD0900X
IL036158037207ZP0102X
MO2011017331207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology