Provider Demographics
NPI:1295814135
Name:GIEDT, AMY LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LYNN
Last Name:GIEDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5401 COLLEGE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1617
Mailing Address - Country:US
Mailing Address - Phone:913-677-3113
Mailing Address - Fax:913-677-4514
Practice Address - Street 1:9119 W 74TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2236
Practice Address - Country:US
Practice Address - Phone:913-677-3113
Practice Address - Fax:913-677-4514
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2017-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS0431520207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS31231032OtherBLUE CROSS BLUE SHIELD KC
KS31231032OtherBLUE CROSS BLUE SHIELD KC
KSD96B754Medicare ID - Type Unspecified