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Contact Information

BOULEVARD DERMATOLOGY P A
5520 COLLEGE BLVD
SUITE 410
OVERLAND PARK, KS66211-1630
 Phone: 913-451-5934
 Fax: 913-451-4716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BOULEVARD DERMATOLOGY P A

NPI Number 1598885295
LBN Legal business name BOULEVARD DERMATOLOGY P A
Authorized official JANA WOOD - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 12/11/2007 - About 18 years ago
Identifiers n/a
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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