KYLE ANDERSON (NPI# 1720221617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720221617 |
| Entity Type | Individual |
| Full Name | KYLE ANDERSON |
| Credential | MD |
| Practice Address |
11301 Nall Ave Fl 2 Bmo Harris Bank Bldg. Leawood KS 66211-1672 |
| Practice Telephone | 9137092770 |
| Mailing Telephone | 9137092770 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 04-36197 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201071670A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523792 | Kyle Charles Anderson | Physical Therapist | 15 S 1000 E Ste 25, Payson, UT 84651-5595 | 2014-02-13 |
| 1326383100 | Kyle C Anderson | Nurse Anesthetist, Certified Registered | 22 Bridge St Ste 9, Concord, NH 03301-4987 | 2012-12-04 |
| 1952383176 | Kyle Anderson | Orthopaedic Surgery | 32270 Telegraph Rd Ste 220b, Bingham Farms, MI 48025-2456 | 2005-11-15 |
| 1770576332 | Kyle R. Anderson | Internal Medicine | 730 Malabar Rd, Malabar, FL 32950-3140 | 2005-08-29 |
| 1447870571 | Kyle Anderson | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-04-18 |
| 1992333215 | Kyle John Anderson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-31 |
| 1417580945 | Kyle Anderson | Pharmacist | 812 S 1st Ave, Iowa City, IA 52245-5208 | 2020-02-12 |
| 1912540980 | Kyle Edward Anderson | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-10-23 |
| 1982170676 | Kyle Christian Anderson | Nurse Practitioner | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2018-10-19 |
| 1750800017 | Kyle Anderson | Case Manager/Care Coordinator | 675 Bartson Rd, Fremont, OH 43420-9672 | 2017-09-18 |
| Street Address |
11301 NALL AVE FL 2 BMO HARRIS BANK BLDG. |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740381508 | Holly Fritch | Dermatology | 11201 Nall Avenue, Suite 100, Leawood, KS 66211-1669 | 2006-09-26 |
| 1932215506 | Viseslav Tonkovic-capin | Dermatology | 13284 High Dr, Leawood, KS 66209-1667 | 2006-08-23 |
| 1205880846 | Dermatology and Skin Cancer Specialists, LLC | Dermatology | 11550 Granada Ln, Leawood, KS 66211-1453 | 2006-05-19 |
| 1649272097 | Nahid Shahrooz | Dermatology | 11501 Granada St, Leawood, KS 66211-1454 | 2005-08-15 |
| 1588665509 | Elizabeth A Spenceri | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2005-08-02 |
| 1548266554 | James V. Allen | Dermatology | 11301 Nall Ave Ste 205, Leawood, KS 66211-1774 | 2005-06-23 |
| 1750655585 | Anne M Blake | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2012-02-24 |
| 1174722292 | Colin A Ruff | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2007-07-18 |
| 1568669794 | Celeste A Angel | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2007-06-29 |
| 1255377958 | Karen E Neubauer | Dermatology | 11550 Granada Ln, Leawood, KS 66211-1453 | 2006-06-21 |
| Find all providers in LEAWOOD | ||||
Please comment or provide details below to improve the information on KYLE ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.