Individual
DR. BRIAN MACNEILLE EVERIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD # MS 4032, KANSAS CITY, KS 66160-7234
(913) 588-6805
(913) 588-7899
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6805
(913) 588-7899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0437302
KS
2085R0202X
Diagnostic Radiology Physician
52210
MN
390200000X
Student in an Organized Health Care Education/Training Program
0116020750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
07/08/2008
Last updated
08/05/2014
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