Individual
BROOKE CAROLINE HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20920 W 151ST ST, 100, OLATHE, KS 66061-7247
(913) 782-1148
(913) 782-1097
Mailing address
20920 W 151ST ST, 100, OLATHE, KS 66061-7247
(913) 782-1148
(913) 782-1097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01647
KS
Other
Enumeration date
09/20/2013
Last updated
01/09/2018
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