John Kennedy Layle Jr., MD

Individual provider Active NPI Rheumatology Physician · Mission Hills, KS

NPI 1245566652 · NPPES record last updated Oct 20, 2009

Key facts

NPI
1245566652
Entity type
Individual (NPI type 1)
Primary specialty
Rheumatology Physician 207RR0500X
License
04-13060 (KS)
Practice address
5800 High Dr
Mission Hills, KS 66208-1127
Phone
(913) 432-2009
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-13060KSMDRheumatology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 04-13060 KS Yes

Addresses

Primary practice location

5800 High Dr
Mission Hills, KS 66208-1127

Mailing address

5800 High Dr
Mission Hills, KS 66208-1127
Phone (913) 432-2009

Other identifiers

IdentifierTypeStateIssuer
AL3942960OtherKSBNDD NUMBER

Other providers in Mission Hills, KS

All providers in Mission Hills, KS · Rheumatology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.