Healthcare Provider Details

I. General information

NPI: 1326616376
Provider Name (Legal Business Name): BRIT ALLEN BUELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 24TH ST
KANSAS CITY MO
64108-2776
US

IV. Provider business mailing address

3115 S 54TH ST
KANSAS CITY KS
66106-3217
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-5850
  • Fax:
Mailing address:
  • Phone: 904-708-1512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: