Individual
BRENDA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6409 CHARLOTTE ST, SHAWNEE, KS 66216-2130
(913) 322-1764
Mailing address
6409 CHARLOTTE ST, SHAWNEE, KS 66216-2130
(913) 322-1764
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
KS
Other
Enumeration date
02/22/2007
Last updated
07/09/2007
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