Provider Demographics
NPI:1346773090
Name:BROWN, REBECCA MARIE (AE-C, RRT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:AE-C, RRT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:MARIE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:3816 MATNEY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-3983
Mailing Address - Country:US
Mailing Address - Phone:913-219-2867
Mailing Address - Fax:913-730-7589
Practice Address - Street 1:3816 MATNEY AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-3983
Practice Address - Country:US
Practice Address - Phone:913-219-2867
Practice Address - Fax:913-730-7589
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010134032279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care