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Adult and Pediatric Dermatology

Dermatology Physician in Overland Park, KS · enumerated 2006 · authorized official Jenean Kemp, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609966753

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Registry record

Entity type Organization (Type 2)
Legal business name Adult and Pediatric Dermatology
Practice address 4601 W 109th St Ste 116, Overland Park, KS, 66211
Phone (913) 469-1115
Fax (913) 469-9192
Enumeration date Oct 12, 2006
Last updated in NPPES Jul 13, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 0422209 (KS) Primary

Authorized official

Name Jenean Kemp
Title Administrator
Phone (913) 948-9184

Other identifiers

Identifier Type State Issuer
CI3423 Other KS MEDICARE RAILROAD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Adult and Pediatric Dermatology?
NPPES lists Jenean Kemp (Administrator) as the authorized official for this organization.
What is the NPI number for Adult and Pediatric Dermatology?
The NPI for Adult and Pediatric Dermatology is 1609966753, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-13.