Lauren A Kyle Tkachuk (NPI# 1760709679, PAC ID# 6002138179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1760709679 |
| PAC ID by PECOS | 6002138179 |
| Professional Enrollment ID | I20141126000797 |
| Full Name | Lauren A Kyle Tkachuk |
| Organization Legal Name | BLUE VALLEY DERMATOLOGY |
| Address |
7840 W 165th St Suite 260 Overland Park KS 66223-2925 |
| Phone Number | 9138718221 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9133499973 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7840 W 165th St, Suite 260, Overland Park, KS 66223-2925 | 9138718221 | BLUE VALLEY DERMATOLOGY |
| Organization Legal Name | BLUE VALLEY DERMATOLOGY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taryne D Hensley | Nurse Practitioner | Blue Valley Dermatology | 7840 W 165th St, Suite 260, Overland Park, KS 66223-2925 |
| Street Address |
7840 W 165TH ST SUITE 260 |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66223-2925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan L Smith | Nurse Practitioner | Shawnee Mission Medical Center Inc | 7840 W 165th St, 210 Ahmg Internal Medicine and Pediatrics, Overland Park, KS 66223-2993 |
| Taryne D Hensley | Nurse Practitioner | Blue Valley Dermatology | 7840 W 165th St, Suite 260, Overland Park, KS 66223-2925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Dwomoh Sarpong | Neurosurgery | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Nitin Kukkar | Orthopedic Surgery | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Scott D Kaul | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Timothy P Gengler | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Jami D Crownover | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Brian E Bendorf | Certified Registered Nurse Anesthetist (crna) | The Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Farahnaz A Jiwani | Nurse Practitioner | Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Robin Lee Nance | Certified Registered Nurse Anesthetist | Headache and Pain Center Pa | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 |
| Natalie Y Saisi | Nurse Practitioner | Headache and Pain Center Pa | 8101 W 135th St, Overland Park, KS 66223-1111 |
| Elizabeth M Byers | Nurse Practitioner | Erickson Health Medical Group of Kansas, Pa | 13800 Metcalf Ave, Overland Park, KS 66223-1200 |
| Find all physicians in zip 66223 | |||
| City | OVERLAND PARK |
| Zip Code | 66223 |
| Specialty | DERMATOLOGY |
| City + Specialty | OVERLAND PARK + DERMATOLOGY |
Please comment or provide details below to improve the information on Lauren A Kyle Tkachuk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.