Individual
DR. STEPHEN E BROTHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4116 STRONG AVE, KANSAS CITY, KS 66106-1946
(913) 831-1212
(913) 677-5644
Mailing address
4116 STRONG AVE, KANSAS CITY, KS 66106-1946
(913) 831-1212
(913) 677-5644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5207
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200260260B
—
KS
Enumeration date
03/21/2013
Last updated
03/21/2013
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