Individual
MR. BRENDAN RYAN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8909 PINE ST, LENEXA, KS 66220-3356
(913) 219-9314
Mailing address
8909 PINE ST, LENEXA, KS 66220-3356
(913) 219-9314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11-03718
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03718
PT
KS
Enumeration date
08/15/2007
Last updated
04/16/2026
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