The Dermatology Clinic, P A
Dermatology, Dermatopathology in Wichita, KS. Organization (NPI-2).
NPI number1932168317
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1932168317
- Entity type
- Organization (NPI-2)
- Legal business name
- The Dermatology Clinic, P A
- Organization subpart
- No
- Enumeration date
- Mar 22, 2006
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | – | – | Yes |
Practice location
835 N Hillside StWichita, KS 67214-4913
Phone 316-685-4395 · Fax 316-685-1149
Mailing address
835 N Hillside StWichita, KS 67214-4913
Phone 316-685-4395 · Fax 316-685-1149
Authorized official
Martha Selfridge Housholder
President
3166854395
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