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Individual

DR. JULIE D BRACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
23351 PRAIRIE STAR PKWY STE A245, LENEXA, KS 66227-7301
(913) 676-8630
(913) 676-8635
Mailing address
8800 PENROSE LN APT 242, LENEXA, KS 66219-8156
(913) 219-1095

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26865
KS
207Q00000X
Family Medicine Physician
106289
MO

Other

Enumeration date
09/28/2006
Last updated
10/14/2022
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