Provider Demographics
NPI:1164977138
Name:ROY K OYER
Entity Type:Organization
Organization Name:ROY K OYER
Other - Org Name:ROY K OYER DO UROLOGICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:OYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-663-2442
Mailing Address - Street 1:4601 W 109TH ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1318
Mailing Address - Country:US
Mailing Address - Phone:913-663-2442
Mailing Address - Fax:913-663-5545
Practice Address - Street 1:4601 W 109TH ST
Practice Address - Street 2:SUITE 314
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1318
Practice Address - Country:US
Practice Address - Phone:913-663-2442
Practice Address - Fax:913-663-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0519479208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty