OrganizationActive
Epiphany Dermatology of Kansas, LLC
NPI 1710444500 · Dermatology Physician · Overland Park, KS
Provider details
- NPI number
- 1710444500
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Executive Director(512) 628-0465
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8505 College Blvd
Overland Park, KS 66210-1836
Phone: (913) 541-3230
Approximate (ZIP-level) locationGet directions
Mailing address
7300 Ranch Rd. 2222, Bldg 1, Ste 200
Austin, TX 78730
Registry dates
- Enumerated
- 2019-02-27
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.