MEDICARE: JADE LEE BROWNING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2017029173

General Provider Information

NPI Number	:	1679099527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE LEE BROWNING

Provider Business Mailing Address
First Line	:	2901 TROOST AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109-1538
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 E 23RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-1103
Country	:	US
Telephone Number	:	816-418-4775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	07/18/2024

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Directions to “ JADE LEE BROWNING ” Practice Location

Language	Start Address	Practice Location

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