Basic Information
| Provider Information | |||||||||
| NPI: | 1649818014 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAYS | ||||||||
| FirstName: | ABBEY | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | MPAS, PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 571 N 1624 RD | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660499058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852490954 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12330 METCALF AVE STE 500 | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662131311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8169320288 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/17/2019 | ||||||||
| LastUpdateDate: | 02/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | 2020007095 | MO | N | Allopathic & Osteopathic Physicians | Plastic Surgery | 208200000X | 15-02316 | KS | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.