Tyann Wiederholt

NPI 1033034749 · on the registry since 2026 · sole proprietor

Practice

Address: 200 Ne Missouri Rd
Lees Summit, MO 64086
Phone: (636) 579-0906
Organisation at this address: Be Happy Kc Llc
Kc Pain Asc, Llc
Perry E Lyon Llc
Kc Pain Centers, Llc
Summit Geriatrics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri