Individual
AUTUMN BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3901 RAINBOW BLVD STE MS 1005, KANSAS CITY, KS 66160-8500
(913) 588-1466
(913) 588-6055
Mailing address
3901 RAINBOW BLVD STE MS 2027, KANSAS CITY, KS 66160
(913) 588-3974
(913) 588-6055
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
05-47584
KS
Other
Enumeration date
03/26/2019
Last updated
06/07/2023
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