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MID-KANSAS DERMATOLOGY CLINIC PA NPI 1285685008


NPI Information

NPI: 1285685008
Provider Name: MID-KANSAS DERMATOLOGY CLINIC, PA
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
1861 N ROCK RD
SUITE 310
WICHITA, KS
ZIP 67206
Phone: (316) 612-1833
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MID-KANSAS DERMATOLOGY CLINIC, PA is a dermatology in Wichita, KS. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MID-KANSAS DERMATOLOGY CLINIC, PA NPI is 1285685008. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1861 N ROCK RD
SUITE 310
WICHITA, KS
ZIP 67206-200
Phone: (316) 612-1833
Fax: (316) 612-2420

The provider's authorized official is Steven M Passman .
The authorized official title is President and has the following contact phone number (316) 612-1833.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/12/2008.


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
1207N00000XDermatology04-20338KANSASYes

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
1110898MEDICARE PINKANSAS

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: 4/28/2024

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