Individual
BROOKE DOUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
19786 JOHNSON ST, STILWELL, KS 66085-8717
(913) 209-9983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13115599031
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557490-031
KS
367500000X
Certified Registered Nurse Anesthetist
43557490031
KS
Other
Enumeration date
04/24/2017
Last updated
10/26/2017
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