Healthcare Provider Details

I. General information

NPI: 1649184102
Provider Name (Legal Business Name): JOSEPH BEYRLE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14761 W 53RD ST N
COLWICH KS
67030-9704
US

IV. Provider business mailing address

14761 W 53RD ST N
COLWICH KS
67030-9704
US

V. Phone/Fax

Practice location:
  • Phone: 316-992-2477
  • Fax:
Mailing address:
  • Phone: 316-992-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-100437082
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: