NPIMap

Organization Active NPI

Sports Med Plus of Lees Summit, LLC

  • Sports Medicine (Family Medicine) Physician
  • Lees Summit, MO
National Provider Identifier
1669770434
Registry record updated Mar 3, 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 LEES SUMMIT, LLC
Practice address
2741 NE McBain Dr
Suite B
Lees Summit, MO 64064-7880
Phone
(816) 554-2600
Fax
(816) 554-2603
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Kyla S Kutch, DONPI 1457352817
Title
Co Owner
Phone
(816) 554-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2741 NE McBain Dr
Suite B
Lees Summit, MO 64064-7880

Mailing address

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

National Provider Directory

National Provider Directory

Locations

2741 NE McBaine Dr
Ste B
Lees Summit, MO 64064
Phone (816) 554-2600

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": "1299110400000",
    "number": "1669770434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 NE MCBAIN DR",
            "address_2": "SUITE B",
            "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": "2741 NE MCBAIN DR",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640647880",
            "telephone_number": "816-554-2600",
            "fax_number": "816-554-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MED PLUS OF LEES SUMMIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "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": "816-554-2600",
        "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 Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.