NPI 1124609078

Amy Jiayue Petty, MDPHD

Practitioner Dermatology Physician Overland Park, KS

Practice location

Address: 10740 Nall Ave # Level3, Overland Park, KS 66211-1367
Phone: (913) 588-1227
Fax: (913) 588-8761
Mailing address: 3901 Rainbow Blvd, Kansas City, KS 66160-8500

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 04-51339 (KS)

Other Dermatology providers in Kansas →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2025006496 (MO)

Registry record

NPI: 1124609078
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2021
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.