Healthcare Provider Details

I. General information

NPI: 1366358087
Provider Name (Legal Business Name): BRETT M. LEWIS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 PARALLEL PKWY
KANSAS CITY KS
66112-1510
US

IV. Provider business mailing address

3157 ROWLAND AVE
KANSAS CITY KS
66104-4146
US

V. Phone/Fax

Practice location:
  • Phone: 913-758-6990
  • Fax:
Mailing address:
  • Phone: 913-758-6990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number23-35838-052
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: