Individual
DR. MARK A MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10600 QUIVIRA RD, SUITE 430, OVERLAND PARK, KS 66215-2309
(913) 541-3230
(913) 541-3244
Mailing address
3549 W 153RD TER, LEAWOOD, KS 66224-9557
(913) 814-0314
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0419117
KS
207NS0135X
Procedural Dermatology Physician
0419117
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216860A
—
KS
Enumeration date
08/19/2006
Last updated
12/31/2007
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