American Dermatology Associates, LLC

NPI #1063441103 in Shawnee Mission, Kansas

Provider Information

NPI Number: 1063441103
Entity Type: Organization
Organization Name: American Dermatology Associates, LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 1, 2006
Last Updated: May 27, 2008

Practice Location

Address: 6333 LONG AVE
Address 2: SUITE 360
City: Shawnee Mission
State: Kansas
ZIP Code: 66216-2559
Phone: (913) 631-6330

Authorized Official

Name: MARY BAUMGARTNER
Title: ASSOCIATE ADMINISTRATOR
Phone: (785) 354-8518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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