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

Individual provider Dermatology Physician · NPI 1629427497

Jesalyn Autumn Tate, MD is a Dermatology Physician in Kansas City, Kansas. Works from 2 locations. Licensed in Kansas.

Licensed in
KS
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 Olathe Fl 4C
Kansas City, KS 66160-3438
Phone: (913) 588-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Madison Ave, Memphis, TN 38103-3438 — (901) 448-5814

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 04-45028 (KS)
Dermatology Physician Taxonomy 207N00000X · Licence 04-45028 (KS)

Record details

NPI number1629427497
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2016
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021

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