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KANSAS CITY SKIN AND CANCER CENTER LLC NPI 1669670964


NPI Information

NPI: 1669670964
Provider Name: KANSAS CITY SKIN AND CANCER CENTER, LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 17D2092903

Address:
5810 NW BARRY RD
SUITE 100
KANSAS CITY, MO
ZIP 64154
Phone: (816) 584-8100
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KANSAS CITY SKIN AND CANCER CENTER, LLC is a mohs-micrographic surgery dermatology in Kansas City, MO. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. KANSAS CITY SKIN AND CANCER CENTER, LLC NPI is 1669670964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5810 NW BARRY RD
SUITE 100
KANSAS CITY, MO
ZIP 64154-493
Phone: (816) 584-8100
Fax: (816) 584-8106

The provider's authorized official is Mark Andrew Cohen .
The authorized official title is Member and has the following contact phone number (786) 281-3827.

The CLIA number assigned to this NPI record is 17D2092903 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/7/2007 and was last updated on 5/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic Surgery2002002466MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00439269OTHERRAILROAD MEDICARE
239381019OTHERMISSOURIBLUE CROSS
3DG5134OTHERRAILROAD MEDICARE
4X650000MEDICARE PIN
5H60344MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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