Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMY JIAYUE PETTY, MD, PHD

Active Sole Proprietor

DR. AMY JIAYUE PETTY, MD, PHD is a Dermatology healthcare provider located in OVERLAND PARK, Kansas. NPI 1124609078 is currently active in the NPPES registry. Verify at CMS.

Dermatology · OVERLAND PARK, KS

Registration Details

NPI Number: 1124609078
Provider Type: Individual
Gender: Female
NPI Issued: Apr 20, 2021 (5.2759541891926 yrs)
Last Updated: Oct 7, 2025
Licenses: 2025006496 (MO)

04-51339 (KS)
Sole Proprietor: Yes

Practice Information

Address: 10740 NALL AVE # LEVEL3

OVERLAND PARK, KS, 662111367
Browse KS providers · Browse ZIP 66211
Phone: 9135881227
Fax: 9135888761
Primary Specialty: Dermatology
207N00000X
Additional Specialty: Dermatology

Other Dermatology Providers in OVERLAND PARK, KS

Name	Credential	NPI
DR. BRADEN RAY RANCE	M.D.	1891767562
DR. DAVID L KAPLAN	M.D.	1982661849
DR. CAROL FOULDS	M.D.	1114954450
MRS. NANCY R WAXMAN	MD	1336174820
DR. DAVID M. O'CONNELL	M.D.	1821006248
DR. MARK A MCCUNE	M.D.	1871607267

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.