Individual provider · Type 1 NPI

Tina Y. Carlson, PA-C

Surgical Physician Assistant · Leawood, KS

NPI number 1457323735 Active

Practice location

3651 College Blvd
Leawood, KS 66211-1910

Call (913) 319-7600 Map

Fax (913) 253-1704

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X15-00920 (KS)
Surgical Physician Assistant 363AS0400X2004006980 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1457323735

Tina Y. Carlson, PA-C's National Provider Identifier is 1457323735, issued on Feb 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Leawood, KS. The record was last updated on Apr 15, 2026.