Provider Demographics
NPI:1518901453
Name:BROWN, PAUL J (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY
Mailing Address - Street 2:MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-588-9000
Mailing Address - Fax:913-588-9822
Practice Address - Street 1:7405 RENNER RD
Practice Address - Street 2:KU MEDWEST
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-9414
Practice Address - Country:US
Practice Address - Phone:913-588-8400
Practice Address - Fax:913-588-8413
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-02-15
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Provider Licenses
StateLicense IDTaxonomies
KS04-21701208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
481159444OtherJAYHAWK TAX ID
KS100145280CMedicaid
10001636100OtherCHP PROVIDER NUMBER
157695XXOtherPREFERRED CARE OF NY
18760077OtherBCBS
1208015OtherAETNA
319807OtherFIRSTGUARD
319807OtherFIRSTGUARD