ADULT AND PEDIATRIC DERMATOLOGY – NPI #1609966753
Dermatology

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.

ADULT AND PEDIATRIC DERMATOLOGY is a dermatologist located in OVERLAND PARK, KS. NPPES has assigned the NPI number 1609966753 to ADULT AND PEDIATRIC DERMATOLOGY on October 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 4 years ago on Jul 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADULT AND PEDIATRIC DERMATOLOGY below.

NPI Profile for
ADULT AND PEDIATRIC DERMATOLOGY

NPI Number
1609966753
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADULT AND PEDIATRIC DERMATOLOGY
Primary location
4601 W 109TH ST STE 116
OVERLAND PARK, KS 66211-1313
Phone: (913) 469-1115 Fax: (913) 469-9192
Mailing address
4601 W. 109TH STREET
SUITE 116
OVERLAND PARK, KS 66211-1313
Phone: (913) 469-1115 Fax: (913) 469-9192
Organization Subpart
No
Authorized Official
JENEAN KEMP
ADMINISTRATOR
Phone: (913) 948-9184
Updated
Certification Date
Jul 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADULT AND PEDIATRIC DERMATOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE RAILROADKSCI3423
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
KS 0422209

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.