Organization
PEDIATRIC DERMATOLOGY OF KANSAS CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ANN DOUGLAS MD (PHYSICIAN OWNER)
(913) 228-2000
Entity
Organization
Contact information
Practice address
2001 SHAWNEE MISSION PKWY, MISSION WOODS, KS 66205-2007
(913) 339-8188
Mailing address
2001 SHAWNEE MISSION PKWY STE 130, MISSION WOODS, KS 66205-2060
(913) 228-2000
(855) 354-0963
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
12/07/2023
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