Healthcare Provider Details
I. General information
NPI: 1558003251
Provider Name (Legal Business Name): KASH P BROWN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2022
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 COMMUNITY DR
SENECA KS
66538-9739
US
IV. Provider business mailing address
117 N KANSAS AVE
FRANKFORT KS
66427-1323
US
V. Phone/Fax
- Phone: 785-336-6181
- Fax: 785-336-3265
- Phone: 785-799-4254
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 135463 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 557982 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: