Individual
MR. BRENT OHSE MENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8400 W 110TH ST, STE. 250, OVERLAND PARK, KS 66210
(913) 327-7505
(913) 327-7054
Mailing address
8400 W 110TH ST, STE. 250, OVERLAND PARK, KS 66210-2331
(913) 327-7505
(913) 327-7054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-23396
KS
2084P0800X
Psychiatry Physician
0423396
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27023037
BLUE CROSS BLUE SHIELD
MO
01
—
35388014
BCBS GROUP NUMBER
MO
01
—
66211A002
TRICARE
KS
Enumeration date
06/28/2006
Last updated
11/04/2013
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