Healthcare Provider Details

I. General information

NPI: 1205691052
Provider Name (Legal Business Name): KAREN BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N WACO ST STE 220
WICHITA KS
67202-1102
US

IV. Provider business mailing address

245 N WACO ST STE 220
WICHITA KS
67202-1102
US

V. Phone/Fax

Practice location:
  • Phone: 167-222-1383
  • Fax: 833-464-2530
Mailing address:
  • Phone: 167-222-1383
  • Fax: 833-464-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-82911-082
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: