Individual
DR. CARRIE LYNN WIENEKE BROGHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, 3015 WESCOE, MS 2028, KANSAS CITY, KS 66160-0001
(913) 588-2532
(913) 588-6271
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-2532
(913) 588-6271
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-33431
KS
207V00000X
Obstetrics & Gynecology Physician
MD00048117
WA
Other
Enumeration date
07/01/2006
Last updated
10/06/2014
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