Healthcare Provider Details

I. General information

NPI: 1487520847
Provider Name (Legal Business Name): KYLE GEBHART PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 WESTPORT RD
KANSAS CITY MO
64111-4307
US

IV. Provider business mailing address

1511 WESTPORT RD
KANSAS CITY MO
64111-4307
US

V. Phone/Fax

Practice location:
  • Phone: 816-237-8648
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2025033321
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: