Provider Demographics
NPI:1164453171
Name:OYER, ROY KENT (DO)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:KENT
Last Name:OYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8929 PARALLEL PKWY
Mailing Address - Street 2:ATTN: PMG PHYSICIAN CREDENTIALING KATHLEEN
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1689
Mailing Address - Country:US
Mailing Address - Phone:913-596-3893
Mailing Address - Fax:
Practice Address - Street 1:1715 S LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-7541
Practice Address - Country:US
Practice Address - Phone:660-826-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9C66208800000X
KS05-19479208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSC50574Medicare UPIN
KS431379628OtherTAX ID
KSC50574Medicare UPIN