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Contact Information

AMERICAN DERMATOLOGY ASSOCIATES, LLC
6333 LONG AVE
SUITE 360
SHAWNEE, KS66216-2559
 Phone: 913-631-6330
 Fax: 913-631-6222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for AMERICAN DERMATOLOGY ASSOCIATES LLC · (Female)

NPI # 1063441103
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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