JACOB BROWNBACK

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1154757078

Practice Address

4628 LAFAYETTE AVE
Kansas City, KS 66104

Phone: (913) 302-9317

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes 2012021520 (MO)

Frequently Asked Questions

NPI 1154757078 is the National Provider Identifier for JACOB BROWNBACK, a Student in an Organized Health Care Education/Training Program provider located in Kansas City, KS. This NPI was enumerated on September 24, 2013.
JACOB BROWNBACK practices at 4628 LAFAYETTE AVE, Kansas City, KS 66104.

Quick Facts

NPI
1154757078
Type
Individual
Enumerated
Sep 24, 2013
Last Updated
Sep 24, 2013

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