Organization
SIGNATURE MEDICAL GROUP OF KC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD LAYTHAM (PRACTICE ADMINISTRATOR)
(913) 563-6630
Entity
Organization
Contact information
Practice address
10777 NALL AVE, SUITE 300, OVERLAND PARK, KS 66211-1362
(913) 642-0200
Mailing address
10777 NALL AVE, SUITE 300, OVERLAND PARK, KS 66211-1362
(913) 642-0200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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