Individual
KYLE A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11301 NALL AVE STE 205, LEAWOOD, KS 66211-1774
(913) 451-5934
(913) 451-4716
Mailing address
2200 SW 6TH AVE STE 104, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-36197
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201071670A
—
KS
Enumeration date
04/08/2009
Last updated
09/29/2022
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