Glenn D Goldstein
Dermatologist MOHS-Micrographic Surgeon
11550 Granada Ln
Leawood
, Kansas 66211-1453
Glenn D Goldstein
Dermatologist MOHS-Micrographic Surgeon
11550 Granada Ln
Leawood
, Kansas 66211-1453
(913) 451-7546
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Glenn D Goldstein
- 11550 Granada Ln
- Leawood, KS
- Zip : 66211-1453
- Phone : (913) 451-7546
Second Address
- Glenn D Goldstein
- 11550 Granada Ln
- Leawood, KS
- Zip : 66211-1453
- Phone : (913) 451-7546
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 04-19680 | KS |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 04-19680 | KS |
National Provider Identifier
| NPI | 1164460994 |
|---|---|
| Provider Name | Glenn D Goldstein |
| First Address | Leawood, KS 66211-1453 |
| Second Address | Leawood, KS 66211-1453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 04/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A54891 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.