Organization
DERMATOLOGY SPECIALISTS OF KANSAS CITY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE MECHANIC (ADMINISTRATOR)
(816) 942-1150
Entity
Organization
Contact information
Practice address
1010 CARONDELET DR, SUITE 125, KANSAS CITY, MO 64114-4859
(816) 942-1150
(816) 942-0322
Mailing address
1010 CARONDELET DR STE 125, KANSAS CITY, MO 64114-4846
(816) 942-1150
(816) 942-0322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00815010
BC/BC GRP PROVIDER #
MO
Enumeration date
06/04/2006
Last updated
11/13/2025
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