Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northland Dermatology LLC

Organization Medical Specialty Clinic/Center · NPI 1639573561

Northland Dermatology LLC is a Medical Specialty Clinic/Center in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6352 N Cosby Ave
Kansas City, MO 64151-2344
Phone: (816) 977-3677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence LC001419345 (MO)

Record details

NPI number1639573561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Rouse — Dermatologist · (816) 977-3975
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 21, 2014
Mailing address6352 N Cosby Ave, Kansas City, MO 64151-2344

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