Healthcare Provider Details

I. General information

NPI: 1811829807
Provider Name (Legal Business Name): KAYLA HERL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 E MEYER BLVD
KANSAS CITY MO
64132-1199
US

IV. Provider business mailing address

7110 LACKMAN RD APT 706
SHAWNEE KS
66217-8329
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-4000
  • Fax:
Mailing address:
  • Phone: 785-285-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2026023086
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: