Individual
BRONWYN CELEST BURBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
453 E RED BRIDGE RD, KANSAS CITY, MO 64131-4038
(816) 942-2800
Mailing address
12625 SLATER ST, OVERLAND PARK, KS 66213-4722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1999140899
MO
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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