MEDICARE: KALYN ERICKSON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2025029826	MO

General Provider Information

NPI Number	:	1508515610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALYN ERICKSON DO

Provider Business Mailing Address
First Line	:	6364 N COSBY AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2344
Country	:	US
Telephone Number	:	816-540-1070
Fax Number	:

Provider Business Practice Location Address
First Line	:	6364 N COSBY AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2344
Country	:	US
Telephone Number	:	816-540-1070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	09/11/2025

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