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1871528612 NPI number — BRANDY K KHOKHAR LMLP

NPI Number: 1871528612
Health Care Provider/Practitioner: BRANDY K KHOKHAR LMLP

Information about “1871528612” NPI (BRANDY K KHOKHAR LMLP) exists in 1871528612 in HTML format HTML  |  1871528612 in plain Text format TXT  |  1871528612 in PDF (Portable Document Format) PDF  |  1871528612 in an XML format XML  formats.

NPI Number : 1871528612 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871528612",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KHOKHAR",
    "FirstName": "BRANDY",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROBINSON",
    "OtherFirstName": "BRANDY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "555 N WOODLAWN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67208-3646",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-652-2590",
    "MailingAddressFaxNumber": "316-652-2595",
    "FirstLinePracticeLocationAddress": "555 N WOODLAWN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67208-3646",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-652-2590",
    "PracticeLocationAddressFaxNumber": "316-652-2595",
    "EnumerationDate": "07/11/2006",
    "LastUpdateDate": "09/28/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "958",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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