OrganizationActive
Dermatology and Skin Cancer Specialists, LLC.
NPI 1366632697 · Dermatology Physician · Lees Summit, MO
Provider details
- NPI number
- 1366632697
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenn Goldstein, Medical Director(913) 451-7546
- License
- R8C67 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3265 Ne Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone: (816) 524-4747
Approximate (ZIP-level) locationGet directions
Mailing address
3265 Ne Ralph Powell Rd
Lees Summit, MO 64064-2301
Other names (DBA / former)
- Doing business as
- Dermatology and Skin Cancer Center - Lee'S Summit
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.