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NPI 1770985566

NPI 1770985566 : JOHN KYLE VEAZEY DPT : OVERLAND PARK, KS

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General NPI Number Information
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    NPI Number           |    1770985566
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN KYLE VEAZEY DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/23/2014
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    Last Update Date     |    06/18/2025
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Provider Practice Location Address
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    Address Line         |    8302 W 125TH ST 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66213-1400
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    Country              |    US
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    Telephone            |    913-574-1240
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    Fax                  |    913-574-1245
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Provider Business Mailing Address
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    Address Line         |    8302 W 125TH ST 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66213-1400
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    Country              |    US
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    Telephone            |    913-574-1240
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    Fax                  |    913-574-1245
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    11-04929
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    11-04929
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    License Number State |    KS
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    11-04929
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    License Number State |    KS
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