Individual
KATHLEEN RAE MCBRATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1004 PROGRESS DRIVE, SUITE 200, LANSING, KS 66043-5323
(913) 651-3111
(913) 651-3103
Mailing address
1004 PROGRESS DRIVE, SUITE 200, LANSING, KS 66043-5323
(913) 651-3111
(913) 651-3103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-20753
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052082
MCB BCBS INV PROV #
KS
01
—
12310032
MCB BCBS KC
KS
01
—
2005349
MCB AETNA
KS
01
—
632670
MCB FIRSTGUARD
KS
Enumeration date
06/28/2006
Last updated
09/11/2007
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