Provider Demographics
NPI:1740807379
Name:DONALDSON, BAYLI NIKOLE (PA-C)
Entity type:Individual
Prefix:
First Name:BAYLI
Middle Name:NIKOLE
Last Name:DONALDSON
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:10777 NALL AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1330
Mailing Address - Country:US
Mailing Address - Phone:913-642-0200
Mailing Address - Fax:913-563-6699
Practice Address - Street 1:10777 NALL AVE STE 300
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1330
Practice Address - Country:US
Practice Address - Phone:913-642-0200
Practice Address - Fax:913-563-6699
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2025-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2022048966363AS0400X
KS15-02704363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical