MEDRA LLC NPI 1245101260

NPI Information

  • NPI: 1245101260
  • Provider Name: MEDRA LLC
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Address: 3995 W 125TH ST
    CARBONDALE, KS
    ZIP 66414
  • Phone: (785) 364-7245

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NPI Details

MEDRA LLC is a procedural dermatology dermatology in Carbondale, KS. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). MEDRA LLC NPI is 1245101260. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3995 W 125TH ST
CARBONDALE, KS
ZIP 66414-250
Phone: (785) 364-7245

The provider's authorized official is Morgan Elizabeth Thompson .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (785) 364-7245.

The enumeration date for this NPI number is 9/15/2025 and was last updated on 9/15/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeNo
2363LF0000XNurse PractitionerFamilyNo
3207NS0135XDermatologyProcedural DermatologyYes

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: 11/21/2025

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