Blue Valley Dermatology Llc

LBN: Blue Valley Dermatology Llc
Blue Valley Dermatology Llc is an health care organization with primary practice located at 7840 W 165Th Street Suite 260, Overland Park KS 66223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Blue Valley Dermatology Llc can be contacted via phone (415) 802-1310, or through Tkachuk, Tom via phone (415) 802-1310.

Contact Information

Primary practice address
7840 W 165Th Street Suite 260 Overland Park KS 66223
Phone: (415) 802-1310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tkachuk, Tom
Phone: (415) 802-1310

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 04-36968 Kansas

Profile Details

NPI number 1104354794
LBN Legal business name Blue Valley Dermatology Llc
DBA Doing business as
Authorized official Tkachuk, Tom
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2017
Last updated Oct 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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