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NPI Code Detail

MEDICARE: DR. RICHARD D BROWN D.C.

MEDICARE:  DR. RICHARD D BROWN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor01-03484KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G59000013OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20862714OTHERMOBLUE CROSS/BLUE SHIELD/KC

General Provider Information

NPI Number : 1164442026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD D BROWN D.C.
Provider Business Mailing Address
First Line : 2110 E SANTA FE ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-1607
Country : US
Telephone Number : 913-764-6237
Fax Number : 913-397-8230
Provider Business Practice Location Address
First Line : 2110 E SANTA FE ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-1607
Country : US
Telephone Number : 913-764-6237
Fax Number : 913-397-8230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 03/09/2016

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Directions to “ DR. RICHARD D BROWN D.C.” Practice Location

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