NPI 1518965037

Mary M Tyson, MD

Practitioner Pediatrics Physician Merriam, KS

Practice location

Address: 8800 W. 75th Street Suite 220, Merriam, KS 66204
Phone: (913) 384-5500
Fax: (913) 384-5209

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence R8P06 (MO)

Other Pediatrics providers in Kansas →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 0423820 (KS)

Registry record

NPI: 1518965037
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2005
Record last updated: 31 May 2012

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.