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Contact Information

KYLE A ANDERSON, MD
11301 NALL AVE STE 205
LEAWOOD, KS66211-1774
 Phone: 913-451-5934
 Fax: 913-451-4716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KYLE A ANDERSON · (Male)

NPI # 1720221617
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2009
Last updated 09/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-36197
  • KS Medicaid 201071670A
Hospital affiliation(s)
  • LAWRENCE MEMORIAL HOSPITAL - (Acute Care)
    325 MAINE STREET
    LAWRENCE, KS 66044
  • UNIVERSITY OF KANSAS HOSPITAL - (Acute Care)
    3901 RAINBOW BLVD
    KANSAS CITY, KS 66103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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