S&
SKIN & MOHS SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
LEAWOOD, KS
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1669577524
Agency details
Parent orgOLIVER STREET DERMATOLOGY HOLDINGS
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,078
RevalidationDue 2024-06-30
Authorized official
NameGLENN GOLDSTEIN
TitleMEDICAL DIRECTOR
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