Adult and Pediatric Dermatology
NPI 1609966753ActiveOrganization· Dermatology· Overland Park, KS
Dermatology in Overland Park, Kansas, registered in NPPES in October 2006. The authorized official on file is Jenean C. Kemp, Administrator.
Overview
| NPI | 1609966753 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0422209 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Overland Park
- 1104354794
- 1598885295
- 1023045366
- 1710444500
- 1487671384
- 1780062901
- 1376786780
- 1336775402
- 1114954450
- 1871116210
- 1295994895
- 1982661849