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

Summit Skin Care Incorporated

Organization Family Medicine Physician · NPI 1902099500

Summit Skin Care Incorporated is a Family Medicine Physician in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

3521 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2324
Phone: (816) 554-8346
Fax: (816) 554-9470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 102868 (MO)

Record details

NPI number1902099500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Fearon — Owner / President · (816) 554-7546
Other names Summit Skin And Vein Care; Summit Skin And Vein Care
NPI enumeratedAugust 27, 2007
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address3521 Ne Ralph Powell Rd Ste C, Lees Summit, MO 64064-2324

Other providers in Lees Summit