Individual
BRANDON LEE THOMAS VAN ANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7000 W 121ST ST STE 100, LEAWOOD, KS 66209-2010
(620) 794-5466
Mailing address
737 S CYPRESS ST, GARDNER, KS 66030-8412
(620) 794-5466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06137
KS
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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