SearchKansas152W00000X

Tyler Young, O.D

NPI 1548572811 · on the registry since 2010

Practice

Address
12129 Shawnee Mission Pkwy
Shawnee, KS 66216
Phone
(913) 808-2020
Fax
(913) 298-2634
Organisation at this address
Tyler Young, O.D., P.A.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152WC0802X
Licence states on file
MO, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-29

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 Kansas