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

Signature Medical Group of Kc PA

Organization Physician Assistant · NPI 1093265142

Signature Medical Group of Kc PA is a Physician Assistant in Overland Park, Kansas. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10777 Nall Ave Ste 300
Overland Park, KS 66211-1362
Phone: (913) 642-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1093265142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Laytham — Practice Manager · (913) 642-0200
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 12, 2016
Mailing address10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362

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