IndividualActive
Micaila Lopez, PA-C
NPI 1043028335 · Surgical Physician Assistant · Overland Park, KS
Provider details
- NPI number
- 1043028335
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 15-03052 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699
Approximate (ZIP-level) locationGet directions
Mailing address
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Registry dates
- Enumerated
- 2024-12-19
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.