Organization
BOULEVARD DERMATOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA KAY WOOD (DIRECTOR OF OPERATIONS)
(816) 318-9400
Entity
Organization
Contact information
Practice address
5520 COLLEGE BLVD, SUITE 410, OVERLAND PARK, KS 66211-1630
(913) 451-5934
(913) 451-4716
Mailing address
5520 COLLEGE BLVD, SUITE 410, OVERLAND PARK, KS 66211-1630
(913) 451-5934
(913) 451-4716
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
12/11/2007
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