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Contact Information

MID-KANSAS DERMATOLOGY CLINIC, PA
1861 N ROCK RD
SUITE 310
WICHITA, KS67206-4200
 Phone: 316-612-1833
 Fax: 316-612-2420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MID-KANSAS DERMATOLOGY CLINIC, PA

NPI Number 1285685008
LBN Legal business name MID-KANSAS DERMATOLOGY CLINIC, PA
Authorized official STEVEN PASSMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2006
Last updated 03/12/2008 - About 18 years ago
Identifiers
KS License # 04-20338
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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