Healthcare Provider Details

I. General information

NPI: 1962041517
Provider Name (Legal Business Name): KAYLEA ELIZABETH BROWN FNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 MARTWAY ST
MISSION KS
66202-3290
US

IV. Provider business mailing address

901 E 104TH ST
KANSAS CITY MO
64131-4517
US

V. Phone/Fax

Practice location:
  • Phone: 913-323-8875
  • Fax: 913-323-8876
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2020003346
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: