Provider Demographics
NPI:1811640535
Name:MAY, KYLEE (DPT, PT)
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:KYLEE
Other - Middle Name:
Other - Last Name:EMERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:PO BOX 219297
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9297
Mailing Address - Country:US
Mailing Address - Phone:913-754-0888
Mailing Address - Fax:913-754-0891
Practice Address - Street 1:6362 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1506
Practice Address - Country:US
Practice Address - Phone:913-754-0888
Practice Address - Fax:913-754-0891
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist