Individual
DR. AMY JIAYUE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
10740 NALL AVE # LEVEL3, OVERLAND PARK, KS 66211-1367
(913) 588-1227
(913) 588-8761
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1227
(913) 588-8761
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-51339
KS
207N00000X
Dermatology Physician
2025006496
MO
Other
Enumeration date
04/20/2021
Last updated
10/07/2025
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