Organization Active NPI

Sports Med Plus of Leawood LLC

  • Sports Medicine (Family Medicine) Physician
  • Leawood, KS
National Provider Identifier
1467750232
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SPORTS MED PLUS OF LEAWOOD LLC
Practice address
4800 W 135TH St
Suite 190B
Leawood, KS 66224-8720
Phone
(913) 428-8000
Fax
(913) 428-8001
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyla S Kutch, DO
Title
Co Owner
Phone
(913) 428-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

4800 W 135TH St
Suite 190B
Leawood, KS 66224-8720

Mailing address

2741 NE McBain Dr
Lees Summit, MO 64064-7880
Phone (816) 554-2600

National Provider Directory

National Provider Directory

Locations

4800 W 135th St
Ste 190B
Leawood, KS 66224
Phone (913) 428-8000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1467750232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 NE MCBAIN DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640647880",
            "telephone_number": "816-554-2600",
            "fax_number": "816-554-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W 135TH ST",
            "address_2": "SUITE 190B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248720",
            "telephone_number": "913-428-8000",
            "fax_number": "913-428-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MED PLUS OF LEAWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "KUTCH",
        "authorized_official_first_name": "KYLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "913-428-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.