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KANSAS MEDICAL CLINIC PA NPI 1508877523


NPI Information

NPI: 1508877523
Provider Name: KANSAS MEDICAL CLINIC PA
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 17D2227459

Address:
2200 SW 6TH AVE
TOPEKA, KS
ZIP 66606
Phone: (785) 354-8518
Get Directions

KANSAS MEDICAL CLINIC PA is a mohs-micrographic surgery dermatology in Topeka, KS. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. KANSAS MEDICAL CLINIC PA NPI is 1508877523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 SW 6TH AVE
TOPEKA, KS
ZIP 66606-707
Phone: (785) 354-8518
Fax: (785) 354-1255

The provider's authorized official is Michelle Meier .
The authorized official title is Administrator and has the following contact phone number (785) 295-0956.

The CLIA number assigned to this NPI record is 17D2227459 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/11/2006 and was last updated on 9/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyNo
2207RG0100XInternal MedicineGastroenterologyNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000317450BMEDICAIDKANSAS
2CN8517OTHERRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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