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Contact Information

EPIPHANY DERMATOLOGY OF KANSAS, LLC
8505 COLLEGE BLVD
OVERLAND PARK, KS66210-1836
 Phone: 913-541-3230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EPIPHANY DERMATOLOGY OF KANSAS, LLC

NPI # 1710444500
LBN Legal business name EPIPHANY DERMATOLOGY OF KANSAS, LLC
Authorized official GHEORGHE PUSTA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2019
Last updated 12/07/2023 - About 2 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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