West College Dermatology & Aesthetics, Pa

NPI 1003003310 - Dermatology - 207N00000X

NPI Details
NPI 1003003310
Enumeration Date 10/01/2007
Last Updated 06/17/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL LEE MICHAEL
Position OWNER
Phone (913) 888-3376
Fax (913) 888-3386
Practice Location
11041 HAUSER ST
LENEXA KS, 66210-3708, US
Phone (913) 888-3376
Fax (913) 888-3386
Business Location
11041 HAUSER ST
LENEXA KS, 66210-3708, US
Phone (913) 888-3376
Fax (913) 888-3386
Toxanomy
Taxonomy Code 207N00000X
License State Kansas
License Number 04-25210
Remove 1003003310 NPI Number
 

According to our database, West College Dermatology & Aesthetics, Pa NPI is 1003003310, taxonomy code is 207N00000X and license number is 04-25210, license state is located at Kansas. West College Dermatology & Aesthetics, Pa physically located at 11041 Hauser St, Lenexa KS, 66210-3708. NPI Number 1033115704 has the healthcare provider type.

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1003003310 NPI number is provided on an as is basis without warranty of any kind. 1003003310 is maintained by the National Plan & Provider Enumeration System. The contents of West College Dermatology & Aesthetics, Pa are for informational purposes only.