Boulevard Dermatology P A in Overland Park - Dermatology
Boulevard Dermatology P A - NPI 1598885295
Boulevard Dermatology P A is a Dermatology in Overland Park, Kansas. Boulevard Dermatology P A practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Boulevard Dermatology P A is 1598885295. The last update date is 2007-12-11.
Boulevard Dermatology P A's current location address is 5520 College Blvd, Overland Park, Kansas. You can contact this provider via phone number 9134515934 and fax number 9134514716. The mailing address for Boulevard Dermatology P A is 5520 College Blvd, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boulevard Dermatology P A |
|---|---|
| Address | 5520 College Blvd, Overland Park, Kansas |
| Phone Number | 9134515934 |
| Fax Number | 9134514716 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Wood Kay Jana |
| Telephone Number | 8163189400 |
NPI Number Detail
| NPI Number | 1598885295 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 5520 College Blvd |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662111630 |
| Phone Number | 9134515934 |
| Fax Number | 9134514716 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: 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 |
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What is the Boulevard Dermatology P A's unique identification number?
The Boulevard Dermatology P A has been assigned the NPI (National Provider Identifier) Number 1598885295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Boulevard Dermatology P A's facilities are situated?
The facilities of Boulevard Dermatology P A are physically located at the following address: 5520 College Blvd, Overland Park, KS, 662111630.
What is Boulevard Dermatology P A's specialized field of practice, and what is the corresponding taxonomy classification code?
The Boulevard Dermatology P A's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did Boulevard Dermatology P A receive its 1598885295 assignment from the Centers for Medicare & Medicaid Services?
The Boulevard Dermatology P A was assigned its 1598885295 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Boulevard Dermatology P A's details last updated?
The information pertaining to the Boulevard Dermatology P A, including its address, specialty, and other details, was most recently updated on 2007-12-11.