Adult and Pediatric Dermatology
NPI 1609966753 · Dermatology Physician · Overland Park, KS
Adult and Pediatric Dermatology is a Dermatology Physician organization in Overland Park, KS (NPI 1609966753).
Provider details
- NPI number
- 1609966753
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenean Kemp, Administrator(913) 948-9184
- License
- 0422209 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Frequently asked questions
- What is Adult and Pediatric Dermatology's NPI number?
- Adult and Pediatric Dermatology's National Provider Identifier (NPI) is 1609966753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adult and Pediatric Dermatology?
- Adult and Pediatric Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Adult and Pediatric Dermatology located?
- Adult and Pediatric Dermatology's practice location on file with NPPES is 4601 W 109th St Ste 116, Overland Park, KS 66211-1313.
- What is Adult and Pediatric Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Adult and Pediatric Dermatology is (913) 469-1115.
- Who is the authorized official for Adult and Pediatric Dermatology?
- The authorized official listed on Adult and Pediatric Dermatology's NPPES record is Jenean Kemp, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adult and Pediatric Dermatology's NPI active?
- Yes — Adult and Pediatric Dermatology's NPI (1609966753) is active in the NPPES registry as of the last update on 2022-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.