Individual
BRANDI BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6610 SE QUAKERVALE RD, RIVERTON, KS 66770-4185
(620) 848-2300
Mailing address
PO BOX 550, RIVERTON, KS 66770-0550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
T-LMLP 2681
KS
Other
Enumeration date
01/27/2016
Last updated
07/07/2016
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