Basic Information
Provider Information
NPI: 1326305202
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: SARAH
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4330 WORNALL RD SUITE 2000
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641115939
CountryCode: US
TelephoneNumber: 8169322000
FaxNumber:  
Practice Location
Address1: 4401 WORNALL RD
Address2: RENAL TRANSPLANT PROGRAM
City: KANSAS CITY
State: MO
PostalCode: 641113220
CountryCode: US
TelephoneNumber: 8169325776
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2012
LastUpdateDate: 07/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X2012006265MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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