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Contact Information

LAUREN A KYLE TKACHUK, MD
7840 W 165TH ST STE 260
OVERLAND PARK, KS66223-3020
 Phone: 913-871-8221
 Fax: 913-273-0337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LAUREN A KYLE TKACHUK · (Female)

NPI Number 1760709679
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2010
Last updated 11/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 04-36968
Hospital affiliation(s) Not Available
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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