Individual
DR. LAUREN ANN KYLE TKACHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7840 W 165TH ST STE 260, OVERLAND PARK, KS 66223-3020
(913) 871-8221
(913) 273-0337
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-36968
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2010
Last updated
11/01/2018
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