Individual
MR. RUSSELL DEAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105004
KS
Other
Enumeration date
03/25/2015
Last updated
09/10/2015
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