Healthcare Provider Details

I. General information

NPI: 1144082132
Provider Name (Legal Business Name): KYLIE JOELLE ESPERANZA BIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 08/20/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NW SOUTH OUTER RD
BLUE SPRINGS MO
64015-2963
US

IV. Provider business mailing address

2411 HOLMES ST
KANSAS CITY MO
64108-2741
US

V. Phone/Fax

Practice location:
  • Phone: 816-554-6520
  • Fax:
Mailing address:
  • Phone: 816-235-5412
  • Fax: 816-235-5187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2025034820
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: