Dermatology
ADULT AND PEDIATRIC DERMATOLOGY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609966753 · enumerated 2006-10-12 · record updated 2022-07-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JENEAN KEMP, Administrator · (913) 948-9184
Addresses and phones
- Practice location 4601 W 109TH ST STE 116, OVERLAND PARK, KS, 66211-1313 (913) 469-1115 Fax (913) 469-9192 Google Maps Apple Maps OpenStreetMap
- Mailing address 4601 W. 109TH STREET, SUITE 116, OVERLAND PARK, KS, 66211-1313 (913) 469-1115 Fax (913) 469-9192 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 0422209 KS
In this directory
Locations and evidence
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Practice location
OVERLAND PARK, KS, 662111313
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.