Individual
MIA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 W 47TH ST STE 100, KANSAS CITY, MO 64112-1253
(816) 376-0000
Mailing address
801 W 47TH ST STE 100, KANSAS CITY, MO 64112-1253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2026030458
MO
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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