Signature Medical Group of Kc PA

NPI #1093265142 in Overland Park, Kansas

Provider Information

NPI Number: 1093265142
Entity Type: Organization
Organization Name: Signature Medical Group of Kc PA
Primary Specialty: Physician Assistant
Enumeration Date: Oct 12, 2016
Last Updated: Oct 12, 2016

Practice Location

Address: 10777 NALL AVE
Address 2: SUITE 300
City: Overland Park
State: Kansas
ZIP Code: 66211-1362
Phone: (913) 642-0200

Authorized Official

Name: TODD LAYTHAM, CPA
Title: PRACTICE MANAGER
Phone: (913) 642-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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