| Taylor Lacy, MD | |
|
5675 Roe Blvd Ste 100, Roeland Park, KS 66205-2538 | |
| (913) 432-2080 | |
| Not Available |
| Full Name | Taylor Lacy |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5675 Roe Blvd Ste 100, Roeland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841752409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-51703 (Kansas) | Primary |
| Entity Name | Kennedy Medical Group Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Lacy, MD 5675 Roe Blvd Ste 100, Roeland Park, KS 66205-2538 Ph: () - | Taylor Lacy, MD 5675 Roe Blvd Ste 100, Roeland Park, KS 66205-2538 Ph: (913) 432-2080 |
Dr. Erin Marie O'laughlin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 | |
Dr. Rebecca Leigh Bruce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd, Suite 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 | |
Dr. John Andrew Bukaty, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4925 Juniper Dr, Roeland Park, KS 66205 Phone: 913-362-4825 | |
Carolyn Coyle Hesson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5675 Roe Blvd Ste 100, Roeland Park, KS 66205 Phone: 913-432-2080 Fax: 913-432-5183 |