Medra LLC

Organization Active NPI Procedural Dermatology Physician · Carbondale, KS

NPI 1245101260 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1245101260
Entity type
Organization (NPI type 2)
Primary specialty
Procedural Dermatology Physician 207NS0135X
Legal business name
MEDRA LLC
Practice address
3995 W 125TH St
Carbondale, KS 66414-9250
Phone
(785) 364-7245
NPI assigned
Sep 15, 2025
Organization subpart
No

Authorized official

Name
Mrs. Morgan Elizabeth Thompson, NP-C
Title
Nurse Practitioner, Owner
Phone
(785) 364-7245

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WG0000X
Procedural Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207NS0135X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X

Addresses

Primary practice location

3995 W 125TH St
Carbondale, KS 66414-9250

Mailing address

3995 W 125TH St
Carbondale, KS 66414-9250
Phone (785) 364-7245

Other providers in Carbondale, KS

All providers in Carbondale, KS · Procedural Dermatology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.