Healthcare Provider Details

I. General information

NPI: 1437086816
Provider Name (Legal Business Name): KIRA S BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11477 W 95TH ST
OVERLAND PARK KS
66214-1827
US

IV. Provider business mailing address

11477 W 95TH ST
OVERLAND PARK KS
66214-1827
US

V. Phone/Fax

Practice location:
  • Phone: 913-888-1181
  • Fax: 913-888-1285
Mailing address:
  • Phone: 913-888-1181
  • Fax: 913-888-1285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: