SIGNATURE MEDICAL GROUP OF KC PA NPI 1447708755

NPI Information

NPI: 1447708755
Provider Name: SIGNATURE MEDICAL GROUP OF KC PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
10777 NALL AVE
SUITE 300
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 642-0200
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SIGNATURE MEDICAL GROUP OF KC PA is a surgical physician assistant in Overland Park, KS. SIGNATURE MEDICAL GROUP OF KC PA NPI is 1447708755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10777 NALL AVE
SUITE 300
OVERLAND PARK, KS
ZIP 66211-362
Phone: (913) 642-0200

The provider's authorized official is Todd Laytham .
The authorized official title is Practice Administrator and has the following contact phone number (913) 563-6630.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 9/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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