Organization · Type 2 NPI
Medra LLC
Procedural Dermatology Physician · Carbondale, KS
Practice location
3995 W 125th St
Carbondale, KS 66414-9250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | None listed |
| Procedural Dermatology Physician Primary | 207NS0135X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
About NPI 1245101260
Medra LLC's National Provider Identifier is 1245101260, issued on Sep 15, 2025. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Carbondale, KS. The record was last updated on Sep 15, 2025.