Basic Information
Provider Information
NPI: 1013064096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAYE
FirstName: ADAM
MiddleName: JONATHAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12200 W 106TH ST
Address2: #400
City: OVERLAND PARK
State: KS
PostalCode: 662152305
CountryCode: US
TelephoneNumber: 9135415500
FaxNumber:  
Practice Location
Address1: 12200 W 106TH ST
Address2: #400
City: OVERLAND PARK
State: KS
PostalCode: 662152305
CountryCode: US
TelephoneNumber: 9135415500
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/04/2007
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102X0434549KSN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0127X0434549KSY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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