Organization
SIGNATURE MEDICAL GROUP OF KC PA
Active
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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