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

Skin & Mohs Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1669577524

Skin & Mohs Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Leawood, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11550 Granada St
Leawood, KS 66211-1453
Phone: (913) 451-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence S046023 (KS)

Record details

NPI number1669577524
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOliver Street Dermatology Holdings
Authorized official Glenn Goldstein — Medical Director · (913) 451-7546
NPI enumeratedSeptember 14, 2006
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address11550 Granada St, Leawood, KS 66211-1453

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