Doctor Name: | RANDAL L BROWN |
NPI Number: | 1316998818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 117436 |
Business Practice Address: | 10200 W 105th St Suite 200 Overland Park, KS - 662125750 |
Business Phone Number: | 9134959600 |
Business Fax Number: | 9135990951 |
Mailing Address: | 16866 Palos Verdes Drive, STILWELL |
State: | KS |
Postal Code: | 66085 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 117436 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |