Organization
KANSAS BIRDIE HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNA VAN TUYKOM (ADMINISTRATOR)
(347) 510-6956
Entity
Organization
Contact information
Practice address
112 SW 7TH ST STE 3C, TOPEKA, KS 66603-3858
(347) 510-6956
Mailing address
340 11TH ST APT 4A, BROOKLYN, NY 11215-4056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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