Provider Demographics
NPI:1588605281
Name:BRABEC, CELESTE (MD)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:BRABEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12200 W 106TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2300
Mailing Address - Country:US
Mailing Address - Phone:913-894-2323
Mailing Address - Fax:913-894-0841
Practice Address - Street 1:6650 W 110TH ST
Practice Address - Street 2:STE 320
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211
Practice Address - Country:US
Practice Address - Phone:913-894-2323
Practice Address - Fax:913-894-0841
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2020-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE19336207VE0102X
TXJ2115207VE0102X
MO20000146075207VE0102X
KS428258207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G48963Medicare UPIN