Organization
CAROL FOULDS MD
Active
Other names
Midwest Dermatology and Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL FOULDS M.D. (PRESIDENT)
(913) 387-1120
Entity
Organization
Contact information
Practice address
6730 W 121ST ST, OVERLAND PARK, KS 66209-2002
(913) 387-1120
(913) 663-1466
Mailing address
6730 W 121ST ST, OVERLAND PARK, KS 66209-2002
(913) 387-1120
(913) 663-1466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0430930
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36148018
BCBSKC
MO
01
—
DF9285
PALMETTO GBS MEDICARE RR
GA
Enumeration date
06/26/2006
Last updated
04/27/2011
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