Individual
ALLISON LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-2200
Mailing address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-2200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015001260
MO
363LF0000X
Family Nurse Practitioner
Primary
5376642071
KS
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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