Individual provider · Type 1 NPI

Amy Jiayue Petty, MD, PhD

Dermatology Physician · Overland Park, KS

NPI number 1124609078 Active

Practice location

10740 Nall Ave # LEVEL3
Overland Park, KS 66211-1367

Fax (913) 588-8761

Mailing address

3901 Rainbow Blvd
Kansas City, KS 66160-8500

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X2025006496 (MO)
Dermatology Physician Primary 207N00000X04-51339 (KS)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1124609078

Amy Jiayue Petty, MD, PhD's National Provider Identifier is 1124609078, issued on Apr 20, 2021. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Overland Park, KS. The record was last updated on Oct 7, 2025.