Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corporate Lakes Urology, LLC

Organization Urology Physician · NPI 1124482187

Corporate Lakes Urology, LLC is an Urology Physician in Overland Park, Kansas. Licensed in Kansas. Registered with an NPI since 2016.

Licensed in
KS
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6740 W 121st St Ste 350
Overland Park, KS 66209-2002
Phone: (913) 948-8365
Fax: (913) 541-1034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 0431342 (KS)

Record details

NPI number1124482187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Billy Perry — Owner · (913) 948-8365
NPI enumeratedApril 6, 2016
Last updated in NPPESApril 6, 2016
Mailing address6740 W 121st St, Suite 350, Overland Park, KS 66209-2002

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