Organization
KANSAS CITY SKIN AND CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDREW COHEN MD (MEMBER)
(786) 281-3827
Entity
Organization
Contact information
Practice address
5810 NW BARRY RD, SUITE 100, KANSAS CITY, MO 64154-1493
(816) 584-8100
(816) 584-8106
Mailing address
5810 NW BARRY RD, SUITE 100, KANSAS CITY, MO 64154-1493
(816) 584-8100
(816) 584-8106
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2002002466
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39381019
BLUE CROSS
MO
01
—
DG5134
RAILROAD MEDICARE
—
01
—
P00439269
RAILROAD MEDICARE
—
Enumeration date
07/07/2007
Last updated
05/05/2016
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