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Individual

DR. ERICK MICHAEL BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8900 STATE LINE RD, STE. 380, LEAWOOD, KS 66206-1960
(913) 385-7252
(913) 385-2412
Mailing address
8900 STATE LINE RD, STE. 380, LEAWOOD, KS 66206-1960
(913) 385-7252
(913) 385-2412

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
05-35325
KS
2084P0800X
Psychiatry Physician
2012007494
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A91000011
MEDICARE PTAN
MO
01
A91A00003
MEDICARE PTAN
KS
01
A91B00005
MEDICARE PTAN
MO
Enumeration date
06/16/2008
Last updated
06/11/2013
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