Provider Demographics
NPI:1063482925
Name:MCLAUGHLIN, MARLA BROOKINGS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARLA
Middle Name:BROOKINGS
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:BROOKINGS
Other - Last Name:KEETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9800 TROUP AVENUE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:66111-1870
Mailing Address - Country:US
Mailing Address - Phone:913-297-7472
Mailing Address - Fax:913-788-5878
Practice Address - Street 1:9800 TROUP AVENUE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:66111-1870
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:913-788-5878
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005008765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
35861014OtherBCBS OF KC INDIVIDUAL #
P00260101OtherRAILROAD MEDICARE
086E089AMedicare PIN
35861014OtherBCBS OF KC INDIVIDUAL #