Anderson, Kyle A

Anderson, Kyle A is an individual health care provider with primary practice located at 11301 Nall Ave Ste 205 , Leawood KS 66211-1774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Anderson, Kyle A can be contacted via phone (913) 451-5934.

Contact Information

Primary practice address
11301 Nall Ave Ste 205 Leawood KS 66211-1774
Fax: (913) 451-4716
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 04-36197 Kansas

Profile Details

NPI number 1720221617
LBN Legal business name Anderson, Kyle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Sep 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720221617 NPPES
Kansas MEDICAID 201071670A

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