Provider Demographics
NPI:1881032795
Name:MYEARS, KYLI ANN (FNP)
Entity Type:Individual
Prefix:
First Name:KYLI
Middle Name:ANN
Last Name:MYEARS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KYLI
Other - Middle Name:ANN
Other - Last Name:PLEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2115 S FREMONT AVE STE 5000
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2230
Mailing Address - Country:US
Mailing Address - Phone:417-820-3960
Mailing Address - Fax:
Practice Address - Street 1:2115 S FREMONT AVE STE 5000
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2230
Practice Address - Country:US
Practice Address - Phone:417-820-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013017932363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner