OrganizationActive
Medra LLC
NPI 1245101260 · Procedural Dermatology Physician · Carbondale, KS
Provider details
- NPI number
- 1245101260
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Morgan Thompson, Nurse Practitioner, Owner(785) 364-7245
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Registered Nurse163WG0000X
Nursing Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3995 W 125th St
Carbondale, KS 66414-9250
Phone: (785) 364-7245
Approximate (ZIP-level) locationGet directions
Mailing address
3995 W 125th St
Carbondale, KS 66414-9250
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-09-15
- Certified
- 2025-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.