NPI 1003003310

West College Dermatology & Aesthetics, PA

Organisation Dermatology Physician Lenexa, KS

Practice location

Address: 11041 Hauser St, Lenexa, KS 66210-3708
Phone: (913) 888-3376
Fax: (913) 888-3386

Authorised official

Name: Michael Lee Haag
Title: Owner
Phone: (913) 888-3376

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 04-25210 (KS)

Other Dermatology providers in Kansas →

Registry record

NPI: 1003003310
Entity type: Organization
NPI issued: 1 Oct 2007
Record last updated: 17 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.