Provider Demographics
NPI:1386443539
Name:SULANKA, KAYLA
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:SULANKA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 N 220TH RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:KS
Mailing Address - Zip Code:67417-9102
Mailing Address - Country:US
Mailing Address - Phone:785-275-1776
Mailing Address - Fax:
Practice Address - Street 1:924 8TH ST
Practice Address - Street 2:
Practice Address - City:CLAY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67432-2620
Practice Address - Country:US
Practice Address - Phone:785-546-6544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04609208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation