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1609966753
ADULT AND PEDIATRIC DERMATOLOGY
OVERLAND PARK, KS
NPI
1609966753
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Entity Type
Organization
Authorized Contact
JENEAN C KEMP
Administrator
913-948-9184
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: KS 0422209)
Enumeration Date
2006-10-12
Last Update Date
2022-07-13
Business Address
ADULT AND PEDIATRIC DERMATOLOGY
4601 W 109TH ST STE 116
OVERLAND PARK, KS 66211-1313
Phone number: 913-469-1115
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Mailing Address
ADULT AND PEDIATRIC DERMATOLOGY
4601 W. 109TH STREET SUITE 116
OVERLAND PARK, KS 66211-1313
Phone number: 913-469-1115
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