Individual
DR. BRANDON CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST # MS 1020, KANSAS CITY, KS 66160
(913) 588-5165
(913) 588-3877
Mailing address
4000 CAMBRIDGE ST # MS 1020, KANSAS CITY, KS 66160-0001
(913) 588-5165
(913) 588-3877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-41976
KS
207R00000X
Internal Medicine Physician
94-09040
KS
Other
Enumeration date
06/13/2016
Last updated
04/05/2019
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