Organization
PSYCHIATRIC PRACTIQUE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINIA BROWN CAROLINA MD (OWNER)
(913) 696-9908
Entity
Organization
Contact information
Practice address
8645 COLLEGE BLVD, STE 220, OVERLAND PARK, KS 66210-1835
(913) 696-9908
(913) 341-8125
Mailing address
PO BOX 26601, OVERLAND PARK, KS 66225-6601
(913) 696-9908
(913) 341-8125
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2003007992
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35298015
BCBS OF KANSAS CITY
KS
Enumeration date
09/13/2006
Last updated
08/22/2020
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