Active NPI 1871607267 Individual Practitioner Male Practitioner

Dr. Mark A Mccune , MD

Dermatology • Overland Park, KS

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mccune, MD is a registered Dermatology practitioner in Overland Park, KS. With approximately 49 years of clinical practice since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1977, Dr. Mccune provides healthcare services at the registered practice location at 10600 QUIVIRA RD.

Dr. Mccune is affiliated with Epiphany Dermatology Of Kansas Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, pathology examination of specimen during surgery, first tissue block, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10600 Quivira Rd
Suite 430

Overland Park, KS 662152309

Telephone 9135413230

Fax 9135413244

Associated Practice Facility / Clinic

🏢 Edler Pharmacy, P.a. Facility NPI 1003804584

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Overland Park, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +33.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

19 Specialists

Practicing in Overland Park, KS (106 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccune (49 Years) 49 Yrs

Overland Park Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	93	81	$1877.75	$598.30
88331 Pathology examination of specimen during surgery, first tissue block	57	48	$283.49	$91.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	55	46	$838.50	$199.58
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	40	36	$1765.61	$558.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	33	26	$1171.34	$287.25
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	33	23	$1135.34	$366.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	25	$677.60	$116.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$155.93	$51.12
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	24	23	$1297.85	$218.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	23	22	$870.28	$140.65
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	23	$770.38	$124.51
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$248.84	$82.52
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$1091.23	$289.94
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$778.05	$136.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	148	121	$1901.85	$611.96
88331 Pathology examination of specimen during surgery, first tissue block	73	59	$289.09	$96.19
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	65	43	$1152.79	$364.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	54	49	$851.72	$213.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	49	43	$1194.98	$288.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	38	$687.20	$123.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	43	40	$1783.77	$583.98
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$250.11	$84.89
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	38	34	$1327.19	$232.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$157.48	$52.89
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	26	24	$885.24	$147.68
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	26	24	$1116.90	$328.75
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	24	$782.40	$135.50
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	14	$871.98	$165.62
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$797.04	$132.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	160	131	$1905.78	$610.79
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	66	44	$1158.60	$382.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	63	51	$865.30	$185.77
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	42	$1350.65	$222.49
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	45	33	$1788.99	$590.23
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	44	37	$899.77	$148.73
88331 Pathology examination of specimen during surgery, first tissue block	42	37	$292.34	$96.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$153.22	$52.71
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	33	$1218.96	$288.79
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$253.89	$85.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	23	$694.91	$114.63
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	17	$792.07	$130.60
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$1136.52	$330.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	190	144	$1902.70	$622.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	90	75	$867.00	$213.44
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	86	13	$461.00	$153.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	84	52	$1150.57	$386.55
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	76	65	$886.58	$153.35
88331 Pathology examination of specimen during surgery, first tissue block	75	64	$290.84	$98.53
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	49	45	$1784.20	$598.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$143.83	$53.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	47	43	$700.23	$124.31
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$248.00	$86.56
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	38	33	$1228.21	$309.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	27	$797.00	$146.16
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	25	24	$1358.60	$226.88
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	21	$872.14	$153.68
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	16	$416.28	$124.18
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$1147.20	$357.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	180	147	$1881.70	$564.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	96	80	$855.56	$201.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	68	58	$863.65	$140.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	68	42	$1126.97	$361.18
88331 Pathology examination of specimen during surgery, first tissue block	62	52	$281.95	$85.75
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	49	44	$1762.29	$555.62
99213 Established patient office or other outpatient visit, typically 15 minutes	47	46	$212.04	$68.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$128.00	$40.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	35	$699.55	$115.40
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	31	$797.65	$128.97
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	29	$411.90	$124.09
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	27	26	$850.67	$147.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	24	$1220.56	$276.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	20	$500.09	$153.50
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$1356.62	$217.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$309.19	$100.12
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$768.00	$143.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$1136.00	$322.45
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	11	11	$274.00	$87.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	115	103	$1262.26	$582.83
88331 Pathology examination of specimen during surgery, first tissue block	84	69	$166.86	$90.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	63	57	$511.33	$209.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	54	$147.10	$102.70
99213 Established patient office or other outpatient visit, typically 15 minutes	56	42	$120.75	$68.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	46	40	$604.30	$321.83
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	44	39	$1132.36	$570.53
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	42	36	$434.79	$130.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	37	$354.00	$111.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$83.24	$42.16
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	37	30	$728.03	$369.07
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	36	35	$458.86	$140.45
11102 Tangential biopsy of single skin lesion	34	28	$147.85	$86.26
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	28	24	$542.11	$333.67
11103 Biopsy of related skin growth, each additional growth	24	11	$73.33	$45.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	22	$213.88	$126.87
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	23	$746.30	$234.25
17000 Destruction of skin growth	21	17	$103.67	$55.54
17110 Destruction of up to 14 skin growths	20	16	$157.20	$91.98
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	17	17	$180.76	$76.31
Q0112 All potassium hydroxide (koh) preparations	14	12	$22.21	$5.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	153	125	$1174.00	$556.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	76	48	$693.00	$338.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	61	$82.00	$38.87
88331 Pathology examination of specimen during surgery, first tissue block	70	60	$140.00	$90.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	53	$129.00	$98.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	50	45	$545.00	$306.47
99213 Established patient office or other outpatient visit, typically 15 minutes	48	25	$90.00	$67.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	45	40	$290.00	$112.84
11100 Biopsy of single growth of skin and/or tissue	44	35	$125.00	$88.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	37	$381.00	$205.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	39	$718.00	$216.36
17003 Destruction of precancer skin growth, 2-14 growths	41	14	$19.00	$4.72
17000 Destruction of skin growth	38	27	$95.00	$52.18
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	38	33	$1068.00	$546.04
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	37	36	$363.00	$133.82
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	27	$520.00	$312.54
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	17	$162.00	$101.01
11101 Biopsy of each additional growth of skin and/or tissue	23	16	$50.00	$27.41
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	21	$333.00	$129.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	14	$222.00	$139.91
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	20	16	$131.00	$71.82
17110 Destruction of up to 14 skin growths	19	13	$140.00	$87.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	150	116	$1174.00	$554.93
17003 Destruction of precancer skin growth, 2-14 growths	77	16	$19.00	$4.48
88305 Pathology examination of tissue using a microscope, intermediate complexity	73	33	$86.00	$24.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	61	$82.00	$39.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	58	$129.00	$93.32
88331 Pathology examination of specimen during surgery, first tissue block	58	53	$140.00	$88.35
99213 Established patient office or other outpatient visit, typically 15 minutes	53	29	$90.00	$66.06
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	52	40	$693.00	$326.90
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	52	49	$363.00	$131.55
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	47	41	$545.00	$288.91
11100 Biopsy of single growth of skin and/or tissue	46	36	$125.00	$83.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	40	$290.00	$113.64
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	37	29	$1068.00	$552.61
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	35	31	$718.00	$213.31
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	26	$381.00	$202.81
17000 Destruction of skin growth	32	25	$95.00	$48.20
11101 Biopsy of each additional growth of skin and/or tissue	32	18	$50.00	$27.63
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	19	$520.00	$330.14
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	18	$162.00	$110.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$333.00	$128.73
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$350.00	$115.16
17110 Destruction of up to 14 skin growths	14	12	$140.00	$93.95
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	12	12	$131.00	$77.79

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License KS 0419117

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License KS 0419117

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100216860A (KS)

Hospital & Practice Group Affiliations

Epiphany Dermatology Of Kansas Llc

8505 College Blvd, Overland Park, KS 662101836

Phone: 9135413230

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Brenda Lane , ARNP

Nurse Practitioner

NPI 1013010560

Advanced Registered Nurse Practitioner

Dr. Madison Faddis , DNP, FNP-C

Nurse Practitioner - Family

NPI 1073397907

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Amy Ronan , NP

Nurse Practitioner

NPI 1306996061

Nurse Practitioner

Julia Mccullough , ARNP

Nurse Practitioner

NPI 1770817728

Advanced Registered Nurse Practitioner

Emily Redmond , PA

Physician Assistant

NPI 1841397395

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 31, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2007

Registered at 10600 QUIVIRA RD, SUITE 430, OVERLAND PARK, KS 662152309 (Tel: 9135413230)

📍

Updated Business Mailing Address December 31, 2007

Registered at 3549 W 153RD TER, LEAWOOD, KS 662249557 (Tel: 9138140314)

👤

Provider Name / Credentials Updated December 31, 2007

Recorded as MARK MCCUNE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2007

Dermatology (License #0419117 in KS)

🟢

Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871607267

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 19, 2006

Last Update: December 31, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3549 W 153rd Ter

Leawood, KS 662249557

Phone: 9138140314

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.