Individual
DR. TYLER JACKSON NIGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6604 W 91ST ST, OVERLAND PARK, KS 66212-6003
(816) 812-7080
Mailing address
7295 W 97TH ST, OVERLAND PARK, KS 66212-2209
(913) 953-5959
(913) 953-5959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KS
Other
Enumeration date
07/12/2012
Last updated
10/18/2017
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