Healthcare Provider Details

I. General information

NPI: 1598761520
Provider Name (Legal Business Name): BRIAN A METZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20375 W 151ST ST STE 106A
OLATHE KS
66061-5306
US

IV. Provider business mailing address

PO BOX 874480
KANSAS CITY MO
64187-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-2737
  • Fax: 913-764-7502
Mailing address:
  • Phone: 913-764-2737
  • Fax: 913-764-7502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number424706
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number04-24706
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: