Healthcare Provider Details

I. General information

NPI: 1487177523
Provider Name (Legal Business Name): VINESHA V BYERS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 VINTAGE CT
EXCELSIOR SPRINGS MO
64024-8011
US

IV. Provider business mailing address

2200 SW 6TH AVE STE 104
TOPEKA KS
66606-1707
US

V. Phone/Fax

Practice location:
  • Phone: 816-352-9393
  • Fax: 816-479-4725
Mailing address:
  • Phone: 785-354-8518
  • Fax: 785-354-1255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2017027615
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: