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Contact Information

TINA Y CARLSON, PA-C
3651 COLLEGE BLVD
LEAWOOD, KS66211-1910
 Phone: 913-319-7600
 Fax: 913-253-1704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TINA Y CARLSON · (Female)

NPI # 1457323735
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/02/2006
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 15-00920
  • MO License # 2004006980
Hospital affiliation(s)
  • MENORAH MEDICAL CENTER - (Acute Care)
    5721 WEST 119TH STREET
    OVERLAND PARK, KS 66209
  • OVERLAND PARK REG MED CTR - (Acute Care)
    10500 QUIVIRA ROAD
    OVERLAND PARK, KS 66215
  • RESEARCH MEDICAL CENTER - (Acute Care)
    2316 E MEYER BLVD
    KANSAS CITY, MO 64132
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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