Provider Demographics
NPI:1609931138
Name:BURNS, TROY ANDREW (MD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:ANDREW
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 COLLEGE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211
Mailing Address - Country:US
Mailing Address - Phone:913-451-4776
Mailing Address - Fax:913-451-4770
Practice Address - Street 1:4501 COLLEGE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211
Practice Address - Country:US
Practice Address - Phone:913-451-4776
Practice Address - Fax:913-451-4770
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8G50208D00000X
KS0421987208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO13555031OtherBCBS
MO13555031OtherBCBS