Individual
PAUL J. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7405 RENNER RD, KU MEDWEST, SHAWNEE, KS 66217-9414
(913) 588-8400
(913) 588-8413
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-21701
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001636100
CHP PROVIDER NUMBER
—
05
—
100145280C
—
KS
01
—
1208015
AETNA
—
01
—
157695XX
PREFERRED CARE OF NY
—
01
—
18760077
BCBS
—
01
—
319807
FIRSTGUARD
—
01
—
481159444
JAYHAWK TAX ID
—
Enumeration date
06/15/2006
Last updated
02/15/2010
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