Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036139762 | IL |
NPI | 1013208305 |
---|---|
Provider Name | Dr. Kyle Robert Sweeney |
First Address | Kansas City, KS 66160-8500 |
Second Address | Kansas City, KS 66160-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 05/06/2017 |