IndividualActive
Glenn Goldstein, MD
NPI 1164460994 · MOHS-Micrographic Surgery Physician · Leawood, KS
Provider details
- NPI number
- 1164460994
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-19680 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11550 Granada Ln
Leawood, KS 66211-1453
Phone: (913) 451-7546
Approximate (ZIP-level) locationGet directions
Mailing address
11550 Granada Ln
Leawood, KS 66211-1453
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2017-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.